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Organization
CLARK GENERAL DENTISTRY CENTER, P.C.
Active
Organization
CLARK GENERAL DENTISTRY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY KEITH CLARK DDS (PRESIDENT)
(478) 746-0046
Entity
Organization
Contact information
Practice address
1918 FORSYTH ST, MACON, GA 31201-1144
(478) 746-0046
(478) 746-0970
Mailing address
1918 FORSYTH ST, MACON, GA 31201-1144
(478) 746-0046
(478) 746-0970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12507
GA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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