Individual
BRUCE RICHARD CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
203 NORTH SECOND AVE, MECHANICVILLE, NY 12118
(518) 664-7348
Mailing address
203 NORTH SECOND AVE, MECHANICVILLE, NY 12118
(518) 664-7348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029797
NY
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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