Individual
DR. RYAN GREGORY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
58 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3800
(304) 263-4999
(304) 163-4999
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(304) 263-4999
(304) 263-0984
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011515A
IN
Other
Enumeration date
08/06/2010
Last updated
02/11/2013
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