Organization
DAVID L CLARK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L CLARK DDS (OWNER)
(734) 847-9905
Entity
Organization
Contact information
Practice address
7960 LEWIS AVENUE, TEMPERANCE, MI 48182
(734) 847-9905
(734) 847-1848
Mailing address
PO BOX 320, TEMPERANCE, MI 48182
(734) 847-9905
(734) 847-1848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9529
MI
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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