Organization
CHRISTOPHER CLARK, DDS & ASSOCIATES, PA
Active
Other names
Mini City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CLARK DDS (OWNER/DENTIST)
(910) 863-2377
Entity
Organization
Contact information
Practice address
4558 CAPITAL BLVD STE B, RALEIGH, NC 27604-4538
(910) 863-2377
(910) 863-2555
Mailing address
4558 CAPITAL BLVD STE B, RALEIGH, NC 27604-4538
(910) 863-2377
(910) 863-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7917
NC
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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