Individual
DR. WALEED AJAMU CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1813 EASTCHESTER DR, SUITE 100, HIGH POINT, NC 27265-1573
(336) 882-0345
Mailing address
612 BELLEMEADE ST, GREENSBORO, NC 27401-1903
(202) 271-3096
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8057
NC
Other
Enumeration date
10/10/2006
Last updated
01/05/2017
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