Individual
DR. STEPHANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7601 A GERMANTOWN AVE, PHILADELPHIA, PA 19119
(215) 248-0234
(215) 248-0234
Mailing address
7601 A GERMANTOWN AVE, PHILADELPHIA, PA 19119
(215) 248-0234
(215) 248-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024871L
PA
Other
Enumeration date
12/12/2006
Last updated
08/15/2017
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