Individual
DR. HOLLIS ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15420 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2933
(225) 753-5885
Mailing address
743 WORDSWORTH DR, BATON ROUGE, LA 70810-1986
(225) 368-6479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6846
LA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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