Individual
CAITLIN M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3974 KARL RD, COLUMBUS, OH 43224-5221
(614) 267-5000
Mailing address
1250 FLAGSTONE SQ, WESTERVILLE, OH 43081-4574
(419) 234-8424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026171
OH
Other
Enumeration date
06/08/2020
Last updated
11/26/2021
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