NPI 1639958200

Jessica Clark

Practitioner Dental Hygienist Parkville, MD

Practice location

Address: 11 Terron CT, Parkville, MD 21234-5929
Phone: (443) 704-6984

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 8838 (MD)

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Registry record

NPI: 1639958200
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2023
Record last updated: 25 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.