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STEPHEN PHILLIP CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11349 SAMUEL BOWEN BLVD, BERLIN, MD 21811-2212
(866) 273-8204
Mailing address
707 EDGEWATER DR APT 104, SALISBURY, MD 21804-3619
(781) 927-9597

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17760
MD
126800000X
Dental Assistant

Other

Enumeration date
08/30/2022
Last updated
10/06/2022
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