Individual
DR. MARTIN BLOCH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
602 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 432-6751
(229) 432-5918
Mailing address
602 POINTE NORTH BLVD, ALBANY, GA 31721-1513
(229) 432-6751
(229) 432-5918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015196
GA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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