Glenn D Clark DDS

NPI 1013925247 - Dentist - 1223G0001X

NPI Details
NPI 1013925247
Gender Male
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10405 E NORTHWEST HWY
204
DALLAS TX, 75238-4619, US
Phone (214) 348-7000
Fax
Business Location
10405 E. NORTHWEST HWY
204
DALLAS TX, 75238-4600, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 11163
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According to our database, Dr. Glenn D Clark DDS NPI is 1013925247, taxonomy code is 1223G0001X and license number is 11163, license state is located at Texas. Glenn D Clark DDS physically located at 10405 E Northwest Hwy, Dallas TX, 75238-4619. NPI Number Glenn D Clark DDS has the Individual type.

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1013925247 NPI number is provided on an as is basis without warranty of any kind. 1013925247 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn D Clark DDS are for informational purposes only.