Individual
DR. JOHN RUSHFORD CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 S UNIVERSITY DR, SUITE 103, PLANTATION, FL 33324-3309
(954) 562-9610
(954) 772-2569
Mailing address
5181 NE 19TH AVE, FORT LAUDERDALE, FL 33308-3712
(954) 772-1305
(954) 772-2569
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN4272
FL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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