Individual
JOHN DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2900 CENTRAL AVE, BILLINGS, MT 59102-8626
(406) 656-6100
Mailing address
2900 CENTRAL AVE, BILLINGS, MT 59102-8626
(406) 656-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
112730
AK
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-13444
MT
Other
Enumeration date
08/16/2016
Last updated
07/21/2022
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