Individual
DR. JERRY M HARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44 W BALTIMORE AVENUE, CLIFTON HEIGHTS, PA 19018-2201
(610) 622-2684
Mailing address
44 W BALTIMORE AVE, CLIFTON HEIGHTS, PA 19018-2212
(610) 622-2684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS15102L
PA
Other
Enumeration date
07/10/2006
Last updated
10/26/2012
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