Individual
CLARA LYNN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
255 SW MAIN BLVD, LAKE CITY, FL 32025-7050
(386) 752-2480
Mailing address
7517 SMOKEY RD, GLEN SAINT MARY, FL 32040-5318
(904) 631-4535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27052
FL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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