Robert Joseph Clark DDS

NPI 1053432633 - Dentist - 122300000X

NPI Details
NPI 1053432633
Gender Male
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5323 BRAINERD RD STE 105
CHATTANOOGA TN, 37411-5305, US
Phone (423) 485-1000
Fax (423) 485-1233
Business Location
5323 BRAINERD RD STE 105
CHATTANOOGA TN, 37411-5305, US
Phone (423) 485-1000
Fax (423) 485-1233
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number TNDS002676
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According to our database, Dr. Robert Joseph Clark DDS NPI is 1053432633, taxonomy code is 122300000X and license number is TNDS002676, license state is located at Tennessee. Robert Joseph Clark DDS physically located at 5323 Brainerd Rd Ste 105, Chattanooga TN, 37411-5305. NPI Number Robert Joseph Clark DDS has the Individual type.

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1053432633 NPI number is provided on an as is basis without warranty of any kind. 1053432633 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Joseph Clark DDS are for informational purposes only.