Clark, Alfonso

Clark, Alfonso is an individual health care provider with primary practice located at 1344 66Th Ave , Phila PA 19126. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, Alfonso can be contacted via phone (215) 224-7300.

Contact Information

Primary practice address
1344 66Th Ave Phila PA 19126
Phone: (215) 224-7300
Fax: (215) 924-7450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS021889L Pennsylvania

Profile Details

NPI number 1972665826
LBN Legal business name Clark, Alfonso
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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