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Individual

MICHAEL D CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1616 S CHERRY ST, PINE BLUFF, AR 71601-6227
(870) 534-2151
Mailing address
1616 S CHERRY ST, PINE BLUFF, AR 71601-6227

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2898
AR

Other

Enumeration date
08/09/2006
Last updated
07/08/2007
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