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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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