Individual
DAKOTA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9021 N 121ST EAST AVE STE 100A, OWASSO, OK 74055-5432
(918) 272-4900
Mailing address
9021 N 121ST EAST AVE STE 100A, OWASSO, OK 74055-5432
(918) 272-4900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3293
OK
Other
Enumeration date
07/24/2025
Last updated
08/07/2025
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