Individual
DR. JAMES EUGENE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 FULLER RD, SUITE D-18, MERIDIAN, MS 39309-5106
(601) 679-2383
Mailing address
7362 OLD COUNTRY CLUB PL, MERIDIAN, MS 39305-9670
(601) 679-2383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6212
NC
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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