Organization
HEATHER M. CLARK D.M.D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HERNANDEZ (ASSISTANT OFFICE MANAGER)
(609) 646-2501
Entity
Organization
Contact information
Practice address
2311 NEW RD, NORTHFIELD, NJ 08225-1442
(609) 646-2501
(609) 646-0151
Mailing address
2311 NEW RD, NORTHFIELD, NJ 08225-1442
(609) 646-2501
(609) 646-0151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20003
NJ
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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