Organization
ANN ARBOR DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W CLARK D.D.S., M.S. (DENTIST)
(734) 971-3368
Entity
Organization
Contact information
Practice address
3100 E EISENHOWER PKWY, SUITE 200, ANN ARBOR, MI 48108-5205
(734) 971-3368
(734) 971-3979
Mailing address
3100 E EISENHOWER PKWY, SUITE 200, ANN ARBOR, MI 48108-5205
(734) 971-3368
(734) 971-3979
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901010113
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901018096
MI
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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