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Search › Indiana › General Practice Dentistry

Grace Clark, DDS

NPI 1407360910 · on the registry since 2017

Practice

Address
4716 Illinois Rd Ste 101
Fort Wayne, IN 46804
Phone
(260) 432-7970
Clinicians at this address
6

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-12

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 Indiana