Organization
CLEAR CREEK DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CLARK D.M.D. (OWNER)
(936) 291-0032
Entity
Organization
Contact information
Practice address
901 NORMAL PARK DR STE 202, HUNTSVILLE, TX 77320-3770
(617) 319-6674
Mailing address
5430 PINE SPRINGS CT, CONROE, TX 77304-4052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27909
TX
Other
Enumeration date
01/27/2016
Last updated
07/05/2016
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