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Individual

THOMAS MONROE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(884) 292-9463
Mailing address
2404 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-0400
(884) 292-9463

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1983
SC

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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