Individual
DR. DAVID BRYCE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1530 S MILLER ST, SHELBYVILLE, IN 46176-2949
(317) 392-6166
(317) 392-6196
Mailing address
1530 S MILLER ST, P.O. BOX 234, SHELBYVILLE, IN 46176-2949
(317) 392-6166
(317) 392-6196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008231A
IN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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