DR. ALFONSO CLARK, DDS
Dentist
Active
Individual
NPI: 1972665826
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DS021889L (PA) |
Frequently Asked Questions
NPI 1972665826 is the National Provider Identifier for DR. ALFONSO CLARK, DDS, a Dentist provider located in Phila, PA. This NPI was enumerated on December 15, 2006.
DR. ALFONSO CLARK, DDS practices at 1344 66TH AVE, Phila, PA 19126.
Quick Facts
- NPI
- 1972665826
- Type
- Individual
- Enumerated
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
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