# DAVID L CLARK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427127349
- **Authorized official:** DR. DAVID L CLARK DDS (OWNER)
- **Authorized official phone:** (734) 847-9905

## Contact information

- **Practice address:** 7960 LEWIS AVENUE, TEMPERANCE, MI 48182
- **Practice address phone:** (734) 847-9905
- **Practice address fax:** (734) 847-1848
- **Mailing address:** PO BOX 320, TEMPERANCE, MI 48182
- **Mailing address phone:** (734) 847-9905
- **Mailing address fax:** (734) 847-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9529 | MI | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020