Clark, Charles Lee
Clark, Charles Lee is an individual health care provider with primary practice located at 3013 Independence Drive , New Braunfels TX 78132. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Charles Lee can be contacted via phone (830) 625-6914.Contact Information
Primary practice address
3013 Independence Drive
New Braunfels TX 78132
Phone: (830) 625-6914
Fax: (830) 629-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 18816 | Texas |
Profile Details
| NPI number | 1659331650 |
|---|---|
| LBN Legal business name | Clark, Charles Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 15th, 2019 - about 5 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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