institution
Kenneth C. Clark Dds,ms
Dental Clinic/Center in Green Bay, Wisconsin
NPI 1639568603

Kenneth C. Clark Dds,ms is a Dental Clinic/Center based in Green Bay, WI and is specialized in Dental. Kenneth C. Clark Dds,ms practices in Green Bay, WI. The NPI Number for Kenneth C. Clark Dds,ms is 1639568603 and holds a License No. 3707-15 (Wisconsin).

The current practice location address for Kenneth C. Clark Dds,ms is 2524 Hillside Heights Dr, Green Bay, WI and can be reached out via phone at 920-246-6118. You can also correspond with Kenneth C. Clark Dds,ms through the mailing address at 2524 HILLSIDE HEIGHTS DR, GREEN BAY, WI - 54311-6777 (mailing address contact number: 920-246-6118).

Location: 2524 Hillside Heights Dr, Green Bay, WI, 54311-6777
institution
Provider Profile Details
NPI Number
1639568603
Provider Name
Kenneth C. Clark Dds,ms
Credential
Provider Entity Type
Organization
Address
2524 Hillside Heights Dr, Green Bay, WI, 54311-6777
Phone Number
920-246-6118
Fax Number
Provider Enumeration Date
01/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2524 Hillside Heights Dr
City
State
Zip
54311-6777
Phone Number
920-246-6118
Fax Number
person
Provider Business Mailing Address Details
Address
2524 Hillside Heights Dr
City
State
Zip
54311-6777
Phone Number
920-246-6118
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3707-15 (Wisconsin)
Definition
Definition to come...
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