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Organization

JANICE D CLARK, DDS, PA

Active
Other names
Clark Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANICE D CLARK DDS (DENTIST/ OWNER)
(919) 263-9568
Entity
Organization

Contact information

Practice address
680 US HWY 1 N, SUITE 500, YOUNGSVILLE, NC 27596
(919) 263-9568
Mailing address
680 US HWY 1 N, SUITE 500, YOUNGSVILLE, NC 27596

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8703
NC

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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