Organization · Type 2 NPI
Clark Family Dental Center, LLC
Dental Clinic/Center · Clark, SD
NPI number
1891201018
Active
Practice location
415 1st Ave W
Clark, SD 57225-1320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DL141108 (SD) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1891201018
Clark Family Dental Center, LLC's National Provider Identifier is 1891201018, issued on Dec 26, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Clark, SD. The record was last updated on Oct 21, 2021.