Organization
DR. DARRELL ADRIAN CLARK D.D.S.
Active
Organization
DR. DARRELL ADRIAN CLARK D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL ADRIAN CLARK D.D.S. P.A. (PRESIDENT)
(301) 856-1234
Entity
Organization
Contact information
Practice address
8839 BRANCH AVE, CLINTON, MD 20735-2632
(301) 856-1234
Mailing address
3102 DUNKAGLE CT, BOWIE, MD 20721-1261
(301) 218-1622
(301) 218-1623
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8308
MD
Other
Enumeration date
05/30/2007
Last updated
07/12/2011
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