| Dr. Darrll Adrian Clark D.d.s. | |
|
45111 First Colony Way California MD 20619-2416 | |
| (301) 866-9850 | |
| Not Available |
| Full Name | Dr. Darrll Adrian Clark D.d.s. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 45111 First Colony Way, California, Maryland |
| Authorized Official Name and Position | Darrell Adrian Clark (PRESIDENT) |
| Authorized Official Contact | 3012181622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Darrll Adrian Clark D.d.s. 3102 Dunkagle Ct Bowie MD 20721-1261 Ph: (301) 218-1622 | Dr. Darrll Adrian Clark D.d.s. 45111 First Colony Way California MD 20619-2416 Ph: (301) 866-9850 |
| NPI Number | 1093916702 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093916702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8308 (Maryland) | Primary |
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