Individual
DR. MARTIN VINCENT CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3000 TWATCHMAN DR, RALEIGH, NC 27616-8926
(919) 266-7997
Mailing address
3000 TWATCHMAN DR, RALEIGH, NC 27616-8926
(919) 266-7997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6967
NC
Other
Enumeration date
09/05/2006
Last updated
08/18/2008
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