Clark, Keith Lee

Clark, Keith Lee is an individual health care provider with primary practice located at 1116 N Meadows Dr , Granbury TX 76048-1717. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Clark, Keith Lee can be contacted via phone (817) 573-4746.

Contact Information

Primary practice address
1116 N Meadows Dr Granbury TX 76048-1717
Phone: (817) 573-4746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19558 Texas

Profile Details

NPI number 1730262684
LBN Legal business name Clark, Keith Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 2nd, 2023 - about last year

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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