Search › North Carolina › Dentist
Theodore Clark, DDS
NPI 1144321936 · on the registry since 2006
Practice
- Address
- 3165 Maplewood Avenue
Winston-Salem, NC 27103 - Phone
- (336) 765-8358
- Fax
- (336) 774-1063
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina