Organization
DR STEPHANIE CLARK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE CLARK DMD (PRESIDENT)
(215) 248-0234
Entity
Organization
Contact information
Practice address
7601A GERMANTOWN AVE, PHILADELPHIA, PA 19119
(215) 248-0234
Mailing address
7601A GERMANTOWN AVE, PHILADELPHIA, PA 19119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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