Individual
DR. CLARK LEE SEYBOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
825 DULANEY VALLEY RD, SUITE 302, TOWSON, MD 21204-1010
(410) 825-5343
(410) 825-6419
Mailing address
920 PROVIDENCE RD, STE 100, TOWSON, MD 21286-2976
(410) 486-1010
(443) 895-4822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO927
MD
Other
Enumeration date
10/16/2006
Last updated
09/18/2020
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