Individual
DR. HEATHER ELISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
Mailing address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007014394
MO
Other
Enumeration date
05/10/2008
Last updated
02/23/2016
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