Kenneth C. Clark DDS, MS
Kenneth C. Clark DDS, MS is a Dental Clinic/Center in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
2524 Hillside Heights DrGreen Bay, WI 54311-6777
Phone: (920) 246-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 3707-15 (WI) |
|---|
Record details
| NPI number | 1639568603 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Clark — Endodontist · (920) 246-6118 |
| NPI enumerated | January 14, 2015 |
| Last updated in NPPES | January 14, 2015 |
| Mailing address | 2524 Hillside Heights Dr, Green Bay, WI 54311-6777 |
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