Individual
DR. SHAWNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5366 MENDENHALL MALL, MEMPHIS, TN 38115-4505
(901) 701-2730
(901) 271-6195
Mailing address
5366 MENDENHALL MALL, MEMPHIS, TN 38115-4505
(901) 701-2730
(901) 271-6195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9702
TN
Other
Enumeration date
07/16/2013
Last updated
04/17/2015
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