Individual
CLARK M TORBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1144 SW 104TH ST, OKLAHOMA CITY, OK 73139-2992
(405) 692-2889
(405) 912-0669
Mailing address
1144 SW 104TH ST, OKLAHOMA CITY, OK 73139-2992
(405) 692-2889
(405) 912-0669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6809
OK
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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