Individual
HEATHER M CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2311 NEW RD, NORTHFIELD, NJ 08225-1442
(609) 646-2501
(609) 646-0151
Mailing address
2311 NEW RD, NORTHFIELD, NJ 08225-1442
(609) 646-2501
(609) 646-0151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20003
NJ
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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