# DOW CLARK DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821220294
- **Authorized official:** DR. FREDRICK DOUGLASS CLARK DDS (LEAD DOCTOR)
- **Authorized official phone:** (301) 686-1070

## Contact information

- **Practice address:** 6188 OXON HILL RD, SUITE 604, OXON HILL, MD 20745-3113
- **Practice address phone:** (301) 686-1070
- **Practice address fax:** (301) 686-1072
- **Mailing address:** 6188 OXON HILL RD, SUITE 604, OXON HILL, MD 20745-3113
- **Mailing address phone:** (301) 686-1070
- **Mailing address fax:** (301) 686-1072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 08/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05724244 | — | MD |