Individual
ADAM M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1416 ASHLEY RIVER RD, ATLANTIC AESTHETICS, CHARLESTON, SC 29407-5306
(843) 769-0488
(843) 769-0428
Mailing address
1416 ASHLEY RIVER RD, ATLANTIC AESTHETICS, CHARLESTON, SC 29407-5306
(843) 769-0488
(843) 769-0428
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3728545
SC
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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