Individual
DR. VICTOR LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
733 OAKWOOD DR, FENTON, MO 63026-3535
(636) 349-1070
Mailing address
733 OAKWOOD DR, FENTON, MO 63026-3535
(636) 349-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14202
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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