Paul Derald Clark, D.D.S., M.S.D. Valid NPI

Individual provider · Endodontics · Mckinney, TX

NPI

1043426943

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

29523 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-15

Last updated

2021-01-15