Individual
CLARK HEPWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4965 W COMMERCE ST, SAN ANTONIO, TX 78237-1508
(210) 702-3206
Mailing address
4502 HAWTHORN WOODS, SAN ANTONIO, TX 78249-1486
(913) 530-8581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33238
TX
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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