| Shelly K. Clark D.d.s., P.a. | |
|
211 W Belt Line Rd South Suite Cedar Hill TX 75104-2066 | |
| (972) 291-0111 | |
| Not Available |
| Full Name | Shelly K. Clark D.d.s., P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 211 W Belt Line Rd, Cedar Hill, Texas |
| Authorized Official Name and Position | Shelly K. Clark (PRESIDENT/ CEO) |
| Authorized Official Contact | 9722910111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly K. Clark D.d.s., P.a. 211 W Belt Line Rd South Suite Cedar Hill TX 75104-2066 Ph: (972) 291-0111 | Shelly K. Clark D.d.s., P.a. 211 W Belt Line Rd South Suite Cedar Hill TX 75104-2066 Ph: (972) 291-0111 |
| NPI Number | 1669567772 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669567772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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