Individual
DOMINIQUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 501-8984
Mailing address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 501-8984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00813900
NJ
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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