Organization
CLARK DENTAL GROUP
Active
Other names
CLARK DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLARK (OWNER/DENTIST)
(972) 291-4281
Entity
Organization
Contact information
Practice address
4450 E HIGHWAY 287, MIDLOTHIAN, TX 76065-5576
(972) 723-2300
Mailing address
4450 E HIGHWAY 287, MIDLOTHIAN, TX 76065-5576
(972) 723-2300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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