Individual
DANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6420 DOBBIN RD, SUITE A, COLUMBIA, MD 21045-4749
(443) 319-5770
Mailing address
6420 DOBBIN RD, SUITE A, COLUMBIA, MD 21045-4749
(443) 319-5770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03764
MD
Other
Enumeration date
07/05/2014
Last updated
07/31/2014
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