Individual
DR. JESSICA MICHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1300 KEMPSVILLE RD STE 5, VIRGINIA BEACH, VA 23464-6199
(757) 467-7797
Mailing address
1300 KEMPSVILLE RD STE 5, VIRGINIA BEACH, VA 23464-6199
(757) 467-7797
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6911
SC
Other
Enumeration date
07/12/2010
Last updated
11/06/2017
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