Individual
DR. DAVID KYLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2120 BERT KOUNS LOOP STE D, SHREVEPORT, LA 71118-3351
(318) 687-9800
Mailing address
2120 BERT KOUNS LOOP STE D, SHREVEPORT, LA 71118-3351
(318) 687-9800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6204
LA
Other
Enumeration date
05/16/2008
Last updated
07/13/2011
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