DR. Bruce R Clark, DDS
NPI #1043220684 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1043220684
- Entity Type
- Individual
- Name
- DR. Bruce R Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2550 STOVER ST
- Address 2
- BLDG E-102
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525
- Phone
- (970) 498-8607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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