Individual
CLARK HAMILTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
(215) 334-3490
Mailing address
413 HILLSIDE AVE, JENKINTOWN, PA 19046-2116
(215) 806-5282
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS043808
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
09/23/2024
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