Individual
JANICE D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-1272
(336) 777-1196
Mailing address
2211 EXECUTIVE ST, SUITE E, CHARLOTTE, NC 28208-3661
(704) 395-6000
(704) 398-7373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8703
NC
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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