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Organization

CLARK FAMILY DENTISTRY

Active
Other names
Heather E. Clark
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEATHER ELISE CLARK DDS (PRESIDENT/DENTIST)
(816) 232-1444
Entity
Organization

Contact information

Practice address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
(816) 279-1450
Mailing address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
(816) 279-1450

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007014394
MO

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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