Individual
DR. CODY LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
281 CORNERSTONE BLVD, HOT SPRINGS, AR 71913-6572
(501) 624-4888
Mailing address
281 CORNERSTONE BLVD, HOT SPRINGS, AR 71913-6572
(501) 624-4888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4088
AR
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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