BENNIE CLARK JR DMD PA

Dentist

Active Organization
NPI: 1295023752

Practice Address

5475 SOUTEL DR
Jacksonville, FL 32219

Phone: (904) 764-4576

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X No -
Dentist 122300000X Yes -

Frequently Asked Questions

NPI 1295023752 is the National Provider Identifier for BENNIE CLARK JR DMD PA, a Dentist provider located in Jacksonville, FL. This NPI was enumerated on July 19, 2011.

Quick Facts

NPI
1295023752
Type
Organization
Enumerated
Jul 19, 2011
Last Updated
Nov 1, 2019

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