Individual
DR. DAVID MANTELL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4816 MACMONT CIR, POWELL, TN 37849-4500
(865) 938-8236
(865) 689-4080
Mailing address
4816 MACMONT CIR, POWELL, TN 37849-4500
(865) 938-8236
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS 2097
TN
Other
Enumeration date
10/16/2006
Last updated
12/20/2009
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