Individual
DEBORA D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 S 7TH ST, MIDLOTHIAN, TX 76065-3211
(972) 775-2377
(972) 775-2565
Mailing address
PO BOX 207, MIDLOTHIAN, TX 76065-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13729
TX
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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