Organization
GOOD HOPE DENTAL CENTER PC
Active
Other names
CLARK FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON MALCOLM CLARK JR. D.M.D. (PRESIDENT)
(256) 350-8182
Entity
Organization
Contact information
Practice address
203 COMMERCE CIR SW STE B, DECATUR, AL 35601-6840
(256) 350-8182
(256) 350-3232
Mailing address
203 COMMERCE CIR SW STE B, DECATUR, AL 35601-6840
(256) 350-8182
(256) 350-3232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4499
AL
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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