Individual provider · Type 1 NPI

Tony D. Clark, DMD

General Practice Dentistry · Fort Walton Beach, FL

NPI number 1992874010 Active

About NPI 1992874010

Tony D. Clark, DMD's National Provider Identifier is 1992874010, issued on Nov 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 8, 2007.