| Clark Dental Care Inc | |
|
1980 A Kings Gate Rd Suite A Springfield OH 45502 | |
| (937) 342-5370 | |
| Not Available |
| Full Name | Clark Dental Care Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1980 A Kings Gate Rd, Springfield, Ohio |
| Authorized Official Name and Position | Kamal Abdel Basir Abdel Wahab (PRESIDENT) |
| Authorized Official Contact | 9373425370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Dental Care Inc Po Box 655 Urbana OH 43078 Ph: (937) 342-5370 | Clark Dental Care Inc 1980 A Kings Gate Rd Suite A Springfield OH 45502 Ph: (937) 342-5370 |
| NPI Number | 1891845160 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891845160 | NPI | - | NPPES |
| 0679565 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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