Individual
DR. MARTIN JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4185 TECHNOLOGY FOREST BLVD, SUITE 100, THE WOODLANDS, TX 77381-2006
(281) 296-9562
(281) 296-9774
Mailing address
4185 TECHNOLOGY FOREST BLVD, SUITE 120, THE WOODLANDS, TX 77381-2006
(281) 296-9562
(281) 296-9774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10468
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
10468
TX
Other
Enumeration date
06/24/2005
Last updated
12/18/2015
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