Individual
DR. EVELYN L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6724 TROOST AVE, SUITE 407, KANSAS CITY, MO 64131-1500
(816) 523-1414
(816) 523-2123
Mailing address
6724 TROOST AVE, SUITE 407, KANSAS CITY, MO 64131-1500
(816) 523-1414
(816) 523-2123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15000
MO
Other
Enumeration date
03/21/2007
Last updated
07/09/2007
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