Clark Orthodontics, Pllc

NPI 1154712818 - Dentist - 1223X0400X

NPI Details
NPI 1154712818
Enumeration Date 02/16/2015
Last Updated 02/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ANDREW ANDREW
Position PRESIDENT
Phone (850) 385-2822
Fax
Practice Location
5555 ROANOKE TRL
TALLAHASSEE FL, 32312-4868, US
Phone (850) 385-2822
Fax
Business Location
5555 ROANOKE TRL
TALLAHASSEE FL, 32312-4868, US
Phone (850) 385-2822
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Florida
License Number 19032
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According to our database, Clark Orthodontics, Pllc NPI is 1154712818, taxonomy code is 1223X0400X and license number is 19032, license state is located at Florida. Clark Orthodontics, Pllc physically located at 5555 Roanoke Trl, Tallahassee FL, 32312-4868. NPI Number 1033115704 has the healthcare provider type.

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1154712818 NPI number is provided on an as is basis without warranty of any kind. 1154712818 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Orthodontics, Pllc are for informational purposes only.