Juliette Clark DMD

NPI 1699903351 - Dentist - 122300000X

NPI Details
NPI 1699903351
Gender Female
Enumeration Date 07/01/2009
Last Updated 01/23/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
419 WHALLEY AVE
SUITE 101
NEW HAVEN CT, 06511-3019, US
Phone (203) 787-0520
Fax (203) 624-7882
Business Location
100 TEMPLE ST
APT PH 12
NEW HAVEN CT, 06510-2711, US
Phone (347) 628-7010
Fax (203) 624-7882
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 055358
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According to our database, Dr. Juliette Clark DMD NPI is 1699903351, taxonomy code is 122300000X and license number is 055358, license state is located at New York. Juliette Clark DMD physically located at 419 Whalley Ave, New Haven CT, 06511-3019. NPI Number Juliette Clark DMD has the Individual type.

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1699903351 NPI number is provided on an as is basis without warranty of any kind. 1699903351 is maintained by the National Plan & Provider Enumeration System. The contents of Juliette Clark DMD are for informational purposes only.