Organization
BROOKWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LEE CLARK D.M.D. (DENTIST)
(636) 349-1070
Entity
Organization
Contact information
Practice address
733 OAKWOOD DR, FENTON, MO 63026-3535
(636) 349-1070
Mailing address
733 OAKWOOD DR, FENTON, MO 63026-3535
(636) 349-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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