Individual
JOHN ANTHONY LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1136 COUNTRY CLUB RD, SUITE B, ADRIAN, MI 49221
(517) 263-9022
(517) 263-9155
Mailing address
1136 COUNTRY CLUB RD, SUITE B, ADRIAN, MI 49221
(517) 263-9022
(517) 263-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015006
MI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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