DR. JEFFRY CLARK, D.D.S.
Dentist
Active
Individual
NPI: 1790821429
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 0401008224 (VA) |
Frequently Asked Questions
NPI 1790821429 is the National Provider Identifier for DR. JEFFRY CLARK, D.D.S., a Dentist provider located in Reston, VA. This NPI was enumerated on January 29, 2007.
DR. JEFFRY CLARK, D.D.S. practices at 1950 ROLAND CLARKE PL, 420, Reston, VA 20191.
Quick Facts
- NPI
- 1790821429
- Type
- Individual
- Enumerated
- Jan 29, 2007
- Last Updated
- Jul 8, 2007
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