Individual
DR. BRIAN EDWARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5544 TURNEY RD, GARFIELD HTS, OH 44125-3780
(216) 581-8931
(216) 581-8931
Mailing address
5544 TURNEY RD, GARFIELD HTS, OH 44125-3780
(216) 581-8931
(216) 581-8931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310621
—
OH
Enumeration date
02/13/2007
Last updated
07/08/2007
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