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Individual
CALLI LAYNE CLARK
Active
Individual
CALLI LAYNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10733
SC
1223P0221X
Pediatric Dentistry
Primary
10733
SC
1223P0221X
Pediatric Dentistry
Primary
10937
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2022
Last updated
08/08/2026
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