Tony D Clark D.M.D.

NPI 1992874010 - Dentist - 1223G0001X

NPI Details
NPI 1992874010
Gender Male
Enumeration Date 11/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
526 MARY ESTHER CUT OFF NW
FORT WALTON BEACH FL, 32548-4025, US
Phone (850) 244-3511
Fax (850) 664-0858
Business Location
526 MARY ESTHER CUT OFF NW
FORT WALTON BEACH FL, 32548-4025, US
Phone (850) 244-3511
Fax (850) 664-0858
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Tony D Clark D.M.D. NPI is 1992874010, taxonomy code is 1223G0001X Tony D Clark D.M.D. physically located at 526 Mary Esther Cut Off Nw, Fort Walton Beach FL, 32548-4025. NPI Number Tony D Clark D.M.D. has the Individual type.

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1992874010 NPI number is provided on an as is basis without warranty of any kind. 1992874010 is maintained by the National Plan & Provider Enumeration System. The contents of Tony D Clark D.M.D. are for informational purposes only.