Individual
DR. TRISCHA ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
940 NE 13TH ST, RM 2102, OKLAHOMA CITY, OK 73104-5008
(405) 271-4750
(405) 271-4055
Mailing address
924 SW 36TH ST, MOORE, OK 73160-7696
(405) 799-5675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5859
OK
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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