Organization
DRS. CLARK & ROMZICK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL CLARK DDS (VICE PRESIDENT)
(248) 855-4850
Entity
Organization
Contact information
Practice address
29330 W 12 MILE RD, FARMINGTON HILLS, MI 48334-4110
(248) 855-4850
Mailing address
29330 W 12 MILE RD, FARMINGTON HILLS, MI 48334-4110
(248) 855-4850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13313
MI
1223G0001X
General Practice Dentistry
Primary
13431
MI
Other
Enumeration date
01/12/2006
Last updated
08/22/2020
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