Clark, Kathryn Jan
Clark, Kathryn Jan is an individual health care provider with primary practice located at 4110 River Rd Nw , Washington DC 20016-4618. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Clark, Kathryn Jan can be contacted via phone (202) 686-2108.Contact Information
Primary practice address
4110 River Rd Nw
Washington DC 20016-4618
Phone: (202) 686-2108
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN1000899 | District of Columbia |
Profile Details
NPI number | 1013467588 |
---|---|
LBN Legal business name | Clark, Kathryn Jan |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2016 |
Last updated | Oct 10th, 2016 - about 8 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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