Organization
THOMAS M. CLARK DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MONROE CLARK DDS (OWNER)
(864) 244-0400
Entity
Organization
Contact information
Practice address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(864) 292-9463
Mailing address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(864) 292-9463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1983
SC
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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