Individual
DR. PAUL DERALD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
5913 VIRGINIA PKWY STE 400, MCKINNEY, TX 75071-5627
(972) 547-0202
(972) 547-0212
Mailing address
5913 VIRGINIA PKWY STE 400, MCKINNEY, TX 75071-5627
(972) 547-0202
(972) 547-0212
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29523
TX
1223E0200X
Endodontics
D7207
AZ
Other
Enumeration date
05/15/2007
Last updated
01/15/2021
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