Individual
DR. LARA MARGARET CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
28626 TELEGRAPH RD, SOUTHFIELD, MI 48034-1934
(947) 237-6421
Mailing address
49062 HONEY TREE CT, NORTHVILLE, MI 48168-8601
(919) 434-9586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602475
MI
122300000X
Dentist
9245
NC
Other
Enumeration date
04/06/2006
Last updated
07/09/2025
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