Individual
DR. JOEL TIMOTHY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
152 W ALEXANDER BLVD, SAND SPRINGS, OK 74063
(918) 878-7801
Mailing address
152 W ALEXANDER BLVD, SAND SPRINGS, OK 74063
(918) 878-7801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7485
OK
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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