Individual
DR. CHRISTOPHER B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28321 KENSINGTON LN, PERRYSBURG, OH 43551-4164
(419) 874-3333
(419) 874-9573
Mailing address
28321 KENSINGTON LN, PERRYSBURG, OH 43551-4164
(419) 874-3333
(419) 874-9573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19412
OH
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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