Individual
DAVID STEPHEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2909 AZALEA PARK DR, MUSKOGEE, OK 74401-2283
(918) 682-0544
Mailing address
5810 E SKELLY DR STE 1800, TULSA, OK 74135-6434
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6977
OK
Other
Enumeration date
06/30/2017
Last updated
06/16/2018
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