Individual
DR. CHRISTOPHER MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, POSTLE HALL ADVANCE GENERAL DENTISTRY #184, COLUMBUS, OH 43210-1267
(614) 292-2622
Mailing address
6313 MARSH WREN DR., GAHANNA, OH 43230
(614) 648-2480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-022553
OH
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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