Individual
DR. RUPERT BANCROFT CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 G ST SW, WASHINGTON, DC 20024-2723
(202) 554-5500
(202) 554-4550
Mailing address
509 G ST SW, WASHINGTON, DC 20024-2723
(202) 554-5500
(202) 554-4550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2230
DC
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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