Organization
KIMBERLY CARLYLE-CLARK, DDS, MS, PA
Active
Other names
Carlyle Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY CARLYLE-CLARK DDS (ORTHODONTIST)
(407) 447-9060
Entity
Organization
Contact information
Practice address
8255 LEE VISTA BLVD, SUITE #D, ORLANDO, FL 32829-8018
(407) 447-9060
Mailing address
8255 LEE VISTA BLVD, SUITE #D, ORLANDO, FL 32829-8018
(407) 447-9060
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16534
FL
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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