Individual
DR. DANIEL JOHN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
624 S HIGH ST, HILLSBORO, OH 45133
(937) 393-3494
(937) 393-6864
Mailing address
624 S HIGH ST, HILLSBORO, OH 45133
(937) 393-3494
(937) 393-6864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748132
—
OH
01
—
120090
SUPERIOR
—
01
—
782967
UNITED CONCORDIA
—
Enumeration date
08/03/2006
Last updated
07/08/2007
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