Individual
DR. BRIAN GLENN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
211 W BELT LINE RD, CEDAR HILL, TX 75104-2066
(972) 291-4281
Mailing address
211 W BELT LINE RD, SOUTH SUITE, CEDAR HILL, TX 75104-2066
(972) 291-4281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18685
TX
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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