Individual
DR. BEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4003 ROSS AVE, DALLAS, TX 75204-5206
(214) 828-1212
Mailing address
3610 RODALE WAY, DALLAS, TX 75287-4820
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9555
TX
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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