Organization
SHELLY K. CLARK D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY K. CLARK D.D.S. (PRESIDENT/ CEO)
(972) 291-0111
Entity
Organization
Contact information
Practice address
211 W BELT LINE RD, SOUTH SUITE, CEDAR HILL, TX 75104-2066
(972) 291-0111
Mailing address
211 W BELT LINE RD, SOUTH SUITE, CEDAR HILL, TX 75104-2066
(972) 291-0111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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