Organization
DR. DARRLL ADRIAN CLARK D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL ADRIAN CLARK D.D.S. P.A. (PRESIDENT)
(301) 218-1622
Entity
Organization
Contact information
Practice address
45111 FIRST COLONY WAY, CALIFORNIA, MD 20619-2416
(301) 866-9850
Mailing address
3102 DUNKAGLE CT, BOWIE, MD 20721-1261
(301) 218-1622
(301) 218-1623
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8308
MD
Other
Enumeration date
05/30/2007
Last updated
07/12/2011
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