Individual
DR. CLARK YUTAKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20 BROAD ST APT 2104, NEW YORK, NY 10005-2085
(816) 678-1808
Mailing address
20 BROAD ST APT 2104, NEW YORK, NY 10005-2085
(816) 678-1808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2021040142
MO
1223G0001X
General Practice Dentistry
Primary
D18199
MA
Other
Enumeration date
02/19/2018
Last updated
11/05/2024
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