Individual
JONATHAN ARTHUR CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4420 W I 40 SERVICE RD, OKLAHOMA CITY, OK 73108-1896
(405) 948-8779
(405) 948-8773
Mailing address
2080 HARPER ST, CHOCTAW, OK 73020-8051
(405) 281-5800
(405) 703-9160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6276
OK
Other
Enumeration date
06/22/2011
Last updated
05/11/2016
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