Organization
PAT CLARK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAT CLARK DDS (PRESIDENT)
(901) 309-3045
Entity
Organization
Contact information
Practice address
6750 POPLAR AVE, SUITE 700, MEMPHIS, TN 38138-7438
(901) 309-3045
(901) 309-3065
Mailing address
6750 POPLAR AVE, SUITE 700, MEMPHIS, TN 38138-7438
(901) 309-3045
(901) 309-3065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS0000007499
TN
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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