| Dow Clark Dental Associates | |
|
6188 Oxon Hill Rd Suite 604 Oxon Hill MD 20745-3113 | |
| (301) 686-1070 | |
| (301) 686-1072 |
| Full Name | Dow Clark Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 6188 Oxon Hill Rd, Oxon Hill, Maryland |
| Authorized Official Name and Position | Fredrick Douglass Clark (LEAD DOCTOR) |
| Authorized Official Contact | 3016861070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dow Clark Dental Associates 6188 Oxon Hill Rd Suite 604 Oxon Hill MD 20745-3113 Ph: (301) 686-1070 | Dow Clark Dental Associates 6188 Oxon Hill Rd Suite 604 Oxon Hill MD 20745-3113 Ph: (301) 686-1070 |
| NPI Number | 1821220294 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821220294 | NPI | - | NPPES |
| 05724244 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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