Individual
DR. JAMES W. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3100 E EISENHOWER PKWY, SUITE 200, ANN ARBOR, MI 48108-5205
(734) 971-3368
(734) 971-3979
Mailing address
3100 E EISENHOWER PKWY, SUITE 200, ANN ARBOR, MI 48108-5205
(734) 971-3368
(734) 971-3979
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10113
MI
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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