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Dr. Daniel Clark, DDS

Dentist, Periodontics in Pittsburgh, PA. Individual provider (NPI-1).

NPI number1104288265
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1104288265
Entity type
Individual (NPI-1)
Name
Dr. Daniel Clark
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2016
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsDS043441PAYes

Practice location

3501 Terrace St
Pittsburgh, PA 15213-2523

Phone 412-648-9100

Mailing address

335 Sutherland Dr
Pittsburgh, PA 15261-0001

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