| Clark Dental Group, P.a. | |
|
211 W Belt Line Rd Cedar Hill TX 75104-2066 | |
| (972) 291-4281 | |
| (972) 291-6466 |
| Full Name | Clark Dental Group, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 W Belt Line Rd, Cedar Hill, Texas |
| Authorized Official Name and Position | Brian Glenn Clark (C.E.O/ PRESIDENT) |
| Authorized Official Contact | 9722914281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Dental Group, P.a. 211 W Belt Line Rd South Suite Cedar Hill TX 75104-2066 Ph: (972) 291-4281 | Clark Dental Group, P.a. 211 W Belt Line Rd Cedar Hill TX 75104-2066 Ph: (972) 291-4281 |
| NPI Number | 1639264732 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639264732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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