Individual
DR. DAVID MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5205 COURTHOUSE RD STE 201, SPOTSYLVANIA, VA 22551-6326
(540) 895-7330
(540) 895-7328
Mailing address
10228 ANTIETAM CT, FREDERICKSBURG, VA 22408-0802
(804) 313-7190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411484
VA
Other
Enumeration date
10/24/2006
Last updated
03/10/2023
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