Organization
JESSICA M. CLARK, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M. CLARK DDS (OWNER)
(757) 467-7797
Entity
Organization
Contact information
Practice address
1300 KEMPSVILLE RD STE 5, VIRGINIA BEACH, VA 23464-6199
(757) 467-7797
Mailing address
1300 KEMPSVILLE RD STE 5, VIRGINIA BEACH, VA 23464-6199
(757) 467-7797
(757) 474-1493
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414334
VA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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