Individual
DR. BRUCE R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2550 STOVER ST, BLDG E-102, FORT COLLINS, CO 80525
(970) 498-8607
(970) 498-8607
Mailing address
2550 STOVER ST, BLDG E-102, FORT COLLINS, CO 80525
(970) 498-8607
(970) 498-8607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7028
CO
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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