Individual
DR. STEVEN MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 UNIVERSITY BLVD STE 105, MORRILTON, AR 72110-8004
(501) 215-4913
Mailing address
11 ROCKY RIDGE RD, CONWAY, AR 72032-9564
(501) 339-7264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4385
AR
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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