Individual
DR. JOHN CHRISTOPHER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1810 DECATUR HWY STE 212, FULTONDALE, AL 35068-1700
(205) 874-9605
Mailing address
1810 DECATUR HWY STE 212, FULTONDALE, AL 35068-1700
(404) 754-4534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6522
AL
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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