Individual
DR. CLARK TOBIAS BARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1481 W 10TH ST, RVAMC, DENTAL SERVICE (160), INDIANAPOLIS, IN 46202-2803
(317) 988-2024
(317) 988-0245
Mailing address
1481 W 10TH ST, RVAMC, DENTAL SERVICE (160), INDIANAPOLIS, IN 46202-2803
(317) 988-2024
(317) 988-0245
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12007214A
IN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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