Individual
DR. KARA ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
619 RIDGE RD, MUNSTER, IN 46321-1645
(219) 836-1111
Mailing address
1117 TULIP LN, MUNSTER, IN 46321-3022
(219) 670-4127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011809A
IN
Other
Enumeration date
07/13/2012
Last updated
08/09/2012
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