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Organization
THOMAS M. CLARK DDS PA
Active
Organization
THOMAS M. CLARK DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MONROE CLARK DDS (OWNER)
(864) 244-0400
Entity
Organization
Contact information
Practice address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(864) 292-9463
Mailing address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(864) 292-9463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1983
SC
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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