Individual
DR. DENNIS MARK CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D
Contact information
Practice address
1500 19TH ST S, SUITE 200, BIRMINGHAM, AL 35205-5628
(205) 933-2773
(205) 933-5147
Mailing address
1500 19TH ST S, SUITE 200, BIRMINGHAM, AL 35205-5628
(205) 933-2773
(205) 933-5147
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3236
AL
Other
Enumeration date
12/12/2005
Last updated
07/08/2007
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