Individual
DAVID JOHN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
211 WEST MAIN STREET, MARSHALLTOWN, IA 50158
(641) 752-3651
(641) 752-3653
Mailing address
211 WEST MAIN STREET, MARSHALLTOWN, IA 50158
(641) 752-3651
(641) 752-3653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06823
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207472
—
IA
Enumeration date
07/28/2006
Last updated
07/08/2007
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