Organization
TRACY M. CLARK DDS INC
Active
Other names
West Houston Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MANNING CLARK D.D.S. (PRESIDENT)
(281) 558-3440
Entity
Organization
Contact information
Practice address
1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Mailing address
1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15603
TX
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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