Individual
DR. LYNN ROBINSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3310 FRANKLIN RD SW, ROANOKE, VA 24014-1310
(540) 342-7221
(540) 400-8304
Mailing address
3310 FRANKLIN RD SW, ROANOKE, VA 24014-1310
(540) 342-7221
(540) 400-8304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005811
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401005811
DENTAL LICENSE NUMBER
VA
Enumeration date
01/12/2007
Last updated
07/08/2007
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