BENNIE CLARK JR., DMD

Dentist - General Practice

Active Individual
NPI: 1437173697

Practice Address

5475 SOUTEL DRIVE
Jacksonville, FL 32219

Phone: (904) 764-4576

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes DN14137 (FL)

Frequently Asked Questions

NPI 1437173697 is the National Provider Identifier for BENNIE CLARK JR., DMD, a Dentist - General Practice provider located in Jacksonville, FL. This NPI was enumerated on July 27, 2006.
BENNIE CLARK JR., DMD practices at 5475 SOUTEL DRIVE, Jacksonville, FL 32219.

Quick Facts

NPI
1437173697
Type
Individual
Enumerated
Jul 27, 2006
Last Updated
Jul 8, 2007

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