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Organization
CLARK FAMILY DENTISTRY
Active
Organization
CLARK FAMILY DENTISTRY
Active
Other names
Kirkland W. Clark, III, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRKLAND WOODRUFF CLARK III D.M.D. (OWNER/DENTIST)
(803) 534-5550
Entity
Organization
Contact information
Practice address
630 LAUREL ST, ORANGEBURG, SC 29115-4835
(803) 534-5550
(803) 534-3963
Mailing address
PO BOX 517, ORANGEBURG, SC 29116-0517
(803) 534-5550
(803) 534-3963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4457
SC
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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