Organization
KRISTIN D. CLARK DDS, MS, PA
Active
Other names
Clark Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN D CLARK DDS, MS, PA (DOCTOR/OWNER)
(501) 758-4112
Entity
Organization
Contact information
Practice address
5503 JOHN F. KENNEDY BLVD., NORTH LITTLE ROCK, AR 72116
(501) 758-4112
(501) 758-4117
Mailing address
5503 JOHN F. KENNEDY BLVD., NORTH LITTLE ROCK, AR 72116
(501) 758-4112
(501) 758-4117
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200527631
—
AR
Enumeration date
11/06/2013
Last updated
09/13/2022
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