| Christopher Clark, Dds & Associates, Pa | |
|
4558 Capital Blvd Ste B Raleigh NC 27604-4538 | |
| (910) 863-2377 | |
| (910) 863-2555 |
| Full Name | Christopher Clark, Dds & Associates, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4558 Capital Blvd Ste B, Raleigh, North Carolina |
| Authorized Official Name and Position | Christopher Clark (OWNER/DENTIST) |
| Authorized Official Contact | 9108632377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Clark, Dds & Associates, Pa 4558 Capital Blvd Ste B Raleigh NC 27604-4538 Ph: (910) 863-2377 | Christopher Clark, Dds & Associates, Pa 4558 Capital Blvd Ste B Raleigh NC 27604-4538 Ph: (910) 863-2377 |
| NPI Number | 1346546314 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346546314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7917 (North Carolina) | Primary |
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