Organization
ALLISON CLARK DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON B CLARK DMD (OWNER)
(937) 687-0700
Entity
Organization
Contact information
Practice address
540 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-0700
(937) 687-6099
Mailing address
540 W MAIN ST, NEW LEBANON, OH 45345-9172
(937) 687-0700
(937) 687-6099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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