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Individual

MR. HARRY M CLARK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
519 STATE ROUTE 67, MALTA, NY 12020-4334
(518) 899-7121
Mailing address
142 COUNTY ROUTE 70, GREENWICH, NY 12834-6302

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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