Individual
DR. HEATHER E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
269 N EASTON RD, GLENSIDE, PA 19038-4717
(215) 884-1130
(215) 887-4407
Mailing address
269 N EASTON RD, GLENSIDE, PA 19038-4717
(215) 884-1130
(215) 887-4407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031551L
PA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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