Organization
REID M. CLARK, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI MABE (OFFICE MANAGER)
(336) 272-4595
Entity
Organization
Contact information
Practice address
1115 W FRIENDLY AVE, GREENSBORO, NC 27401-6137
(336) 272-4595
Mailing address
1115 W FRIENDLY AVE, GREENSBORO, NC 27401-6137
(336) 272-4595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4180
NC
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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