Individual
DR. MEREDITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-5700
(910) 907-8922
Mailing address
2002 LAGRANGE DR, FORT LIBERTY, NC 28314
(248) 514-5132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600477
MI
1223G0001X
General Practice Dentistry
2901600477
MI
Other
Enumeration date
07/29/2020
Last updated
07/03/2024
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