Individual
CYRUS BRADFORD CLARKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
740 S LIMESTONE ROOM A262, LEXINGTON, KY 40536
(859) 323-6723
(859) 323-2036
Mailing address
740 S LIMESTONE ROOM A262, LEXINGTON, KY 40536-0293
(859) 323-6723
(859) 323-2036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10123
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
06/28/2018
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