institution
Dr Clark K J Pc
Dental Clinic/Center in Pana, Illinois
NPI 1598193153

Dr Clark K J Pc is a Dental Clinic/Center based in Pana, IL and is specialized in Dental. Dr Clark K J Pc practices in Pana, IL. The NPI Number for Dr Clark K J Pc is 1598193153 and holds a License No. 019026315 (Illinois).

The current practice location address for Dr Clark K J Pc is 128 S Locust St, Pana, IL and can be reached out via phone at 217-562-3330.

Location: 128 S Locust St, Pana, IL, 62557-1430
institution
Provider Profile Details
NPI Number
1598193153
Provider Name
Dr Clark K J Pc
Credential
Provider Entity Type
Organization
Address
128 S Locust St, Pana, IL, 62557-1430
Phone Number
217-562-3330
Fax Number
Provider Enumeration Date
10/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 S Locust St
City
State
Zip
62557-1430
Phone Number
217-562-3330
Fax Number
person
Provider Business Mailing Address Details
Address
128 S Locust St
City
State
Zip
62557-1430
Phone Number
217-562-3330
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019026315 (Illinois)
Definition
Definition to come...
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