Organization
C.J. CLARK AND ASSOCIATES, PC
Active
Other names
Smiles On New Bern Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KING (OPERATIONS MANAGER)
(252) 991-6843
Entity
Organization
Contact information
Practice address
3110 NEW BERN AVE, RALEIGH, NC 27610-1200
(252) 991-6843
Mailing address
3301 NASH ST NW STE E, WILSON, NC 27896-1642
(252) 991-6843
(252) 991-6854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093880643
—
NC
Enumeration date
07/05/2017
Last updated
09/11/2017
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