DR. BRENT CLARK, DMD
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1174636419
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 14192587-9926 (UT) |
Frequently Asked Questions
NPI 1174636419 is the National Provider Identifier for DR. BRENT CLARK, DMD, a Dentist - Pediatric Dentistry provider located in Wiesbaden, NY. This NPI was enumerated on August 17, 2006.
DR. BRENT CLARK, DMD practices at FLUGPLATZ ERBENHEIM 1040, Wiesbaden, NY 65205.
Quick Facts
- NPI
- 1174636419
- Type
- Individual
- Enumerated
- Aug 17, 2006
- Last Updated
- Jul 10, 2025