Individual
DR. CHARLES LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9150 HUEBNER RD STE 125, SAN ANTONIO, TX 78240-1658
(210) 614-3915
Mailing address
9150 HUEBNER RD STE 125, SAN ANTONIO, TX 78240-1658
(210) 614-3915
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18816
TX
Other
Enumeration date
03/24/2006
Last updated
09/24/2025
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