Individual
DR. CRISTON C. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7102 NASHVILLE ST, RINGGOLD, GA 30736-2446
(706) 965-7272
(706) 965-7279
Mailing address
PO BOX 934, RINGGOLD, GA 30736-0934
(706) 965-7272
(706) 965-7279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011280
GA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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