Joann Clark D.D.S.

NPI 1083777445 - Dentist - 1223G0001X

NPI Details
NPI 1083777445
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2214 EXECUTIVE DR
SUITE A
HAMPTON VA, 23666-6606, US
Phone (757) 838-9486
Fax (757) 838-5542
Business Location
2214 EXECUTIVE DR
SUITE A
HAMPTON VA, 23666-6606, US
Phone (757) 838-9486
Fax (757) 838-5542
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401005935
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According to our database, Dr. Joann Clark D.D.S. NPI is 1083777445, taxonomy code is 1223G0001X and license number is 0401005935, license state is located at Virginia. Joann Clark D.D.S. physically located at 2214 Executive Dr, Hampton VA, 23666-6606. NPI Number Joann Clark D.D.S. has the Individual type.

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1083777445 NPI number is provided on an as is basis without warranty of any kind. 1083777445 is maintained by the National Plan & Provider Enumeration System. The contents of Joann Clark D.D.S. are for informational purposes only.