Organization
CLARK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CLARK DDS (DDS/OWNER)
(317) 273-2372
Entity
Organization
Contact information
Practice address
7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214-3130
(317) 273-2372
(317) 273-2376
Mailing address
7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214-3130
(317) 273-2372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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