Organization
ARTIS L. CLARK, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTIS LEE CLARK SR. D.D.S. (OWNER)
(816) 333-4110
Entity
Organization
Contact information
Practice address
6724 TROOST AVE, 114, KANSAS CITY, MO 64131-1500
(816) 333-4110
Mailing address
6724 TROOST AVE, KANSAS CITY, MO 64131-1500
(816) 333-1733
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12971
MO
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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