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Individual

LAURA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6455 MACHINE STREET, ABERDEEN PROVING GROUND, MD 21005
(410) 278-1795
Mailing address
201 FINGERTIP RD APT 457, ABINGDON, MD 21009-1679

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205267
CO

Other

Enumeration date
07/05/2022
Last updated
08/22/2023
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