Organization
C. W. CLARKE DDS PC
Active
Other names
Advanced Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAM CLARKE DDS (PRESIDENT)
(314) 894-5600
Entity
Organization
Contact information
Practice address
4121 UNION RD, STE 215, SAINT LOUIS, MO 63129-1070
(314) 894-5600
Mailing address
4121 UNION RD, STE 215, SAINT LOUIS, MO 63129-1070
(314) 894-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE015629
MO
Other
Enumeration date
11/11/2006
Last updated
08/22/2020
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