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Organization
C. W. CLARKE DDS PC
Active
Organization
C. W. CLARKE DDS PC
Active
Other names
Advanced Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM CLARKE DDS (PRESIDENT)
(314) 894-5600
Entity
Organization
Contact information
Practice address
4121 UNION RD, STE 215, SAINT LOUIS, MO 63129-1070
(314) 894-5600
Mailing address
4121 UNION RD, STE 215, SAINT LOUIS, MO 63129-1070
(314) 894-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE015629
MO
Other
Enumeration date
11/11/2006
Last updated
08/22/2020
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