Organization
JOHN W. CLARK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WARREN CLARK D.D.S. (OWNER)
(207) 564-8197
Entity
Organization
Contact information
Practice address
753 STILLWATER AVE, BANGOR, ME 04401-3633
(207) 990-5887
(207) 307-7002
Mailing address
753 STILLWATER AVE, BANGOR, ME 04401-3633
(207) 990-5887
(207) 307-7002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3365
ME
Other
Enumeration date
05/01/2012
Last updated
12/13/2021
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