# TRACY M. CLARK DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Houston Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295889863
- **Authorized official:** DR. TRACY MANNING CLARK D.D.S. (PRESIDENT)
- **Authorized official phone:** (281) 558-3440

## Contact information

- **Practice address:** 1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
- **Practice address phone:** (281) 558-3440
- **Practice address fax:** (281) 558-3448
- **Mailing address:** 1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
- **Mailing address phone:** (281) 558-3440
- **Mailing address fax:** (281) 558-3448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 15603 | TX | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020