Individual
DR. MISTY DAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
83 OAK RIDGE CT, PRESTONSBURG, KY 41653
(606) 886-0300
Mailing address
83 OAK RIDGE CT, PRESTONSBURG, KY 41653
(606) 886-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8481
KY
Other
Enumeration date
09/19/2007
Last updated
07/14/2009
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