Organization
ALEXANDER J. CLARK DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER J CLARK DDS (DENTIST)
(316) 312-2309
Entity
Organization
Contact information
Practice address
8340 MISSION RD STE 118, PRAIRIE VILLAGE, KS 66206-1362
(316) 312-2309
Mailing address
8340 MISSION RD STE 118, PRAIRIE VILLAGE, KS 66206-1362
(913) 362-4488
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2020
Last updated
05/12/2022
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