Organization
CLARK FAMILY DENTISTRY
Active
Other names
Kirkland W. Clark, III, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRKLAND WOODRUFF CLARK III D.M.D. (OWNER/DENTIST)
(803) 534-5550
Entity
Organization
Contact information
Practice address
630 LAUREL ST, ORANGEBURG, SC 29115-4835
(803) 534-5550
(803) 534-3963
Mailing address
PO BOX 517, ORANGEBURG, SC 29116-0517
(803) 534-5550
(803) 534-3963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4457
SC
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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