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Organization

JOHN A LARK DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDSEY ANN MCMORDIE EFDA (OFFICE MANAGER)
(517) 263-9022
Entity
Organization

Contact information

Practice address
1136 COUNTRY CLUB RD, SUITE B, ADRIAN, MI 49221-8208
(517) 263-9022
(517) 263-9155
Mailing address
1136 COUNTRY CLUB, SUITE B, ADRIAN, MI 49221
(517) 263-9022
(517) 263-9155

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15006
MI

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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