Individual
DR. DOUGLAS CRAIG CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
118 W 5TH ST, COVINGTON, KY 41011-1481
(859) 630-3281
Mailing address
118 W 5TH ST, COVINGTON, KY 41011-1481
(859) 630-3281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6962
KY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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