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Alfonso Clark, DDS — NPI 1972665826, Phila, PA | NPI Central

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NPI 1972665826

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Alfonso Clark, DDS

NPI 1972665826 · Dentist · Phila, PA

Provider details

NPI number: 1972665826
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DS021889L (PA)

Specialties & taxonomies

DentistPrimary122300000XLicense DS021889L (PA)
Dental Providers

Practice location

1344 66th Ave

Phila, PA 19126

Phone: (215) 224-7300

Fax: (215) 924-7450

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

1344 66th Ave

Philadelphia, PA 19126

Registry dates

Enumerated: 2006-12-15
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.