Organization
CLARK DENTAL STUDIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CLARK DDS (DENTIST/OWNER)
(731) 431-5613
Entity
Organization
Contact information
Practice address
951 RIVERFRONT PKWY, #303, CHATTANOOGA, TN 37402-2185
(423) 266-7927
Mailing address
951 RIVERFRONT PKWY, #303, CHATTANOOGA, TN 37402-2185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9483
TN
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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