Dr. Darrell Adrian Clark D.d.s. | |
8839 Branch Ave Clinton MD 20735-2632 | |
(301) 856-1234 | |
Not Available |
Full Name | Dr. Darrell Adrian Clark D.d.s. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 8839 Branch Ave, Clinton, Maryland |
Authorized Official Name and Position | Darrell Adrian Clark (PRESIDENT) |
Authorized Official Contact | 3018561234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Darrell Adrian Clark D.d.s. 3102 Dunkagle Ct Bowie MD 20721-1261 Ph: (301) 218-1622 | Dr. Darrell Adrian Clark D.d.s. 8839 Branch Ave Clinton MD 20735-2632 Ph: (301) 856-1234 |
NPI Number | 1285835991 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 07/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285835991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8308 (Maryland) | Primary |
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