Organization
CLARK OTERO AND ASSOCIATES PLLC
Active
Other names
Clinton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DERWOOD CLARK SR. (MANAGER)
(910) 596-0606
Entity
Organization
Contact information
Practice address
320 NORTHEAST BLVD, CLINTON, NC 28328-2424
(910) 596-0606
(910) 596-0610
Mailing address
320 NORTHEAST BLVD, CLINTON, NC 28328-2424
(910) 596-0606
(910) 596-0610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906339
—
NC
Enumeration date
04/28/2008
Last updated
04/28/2008
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