Kyle Allen Clark, D.M.D.

NPI #1639521206 in Salem, Illinois

Provider Information

NPI Number: 1639521206
Entity Type: Individual
Name: Kyle Allen Clark, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 7, 2016
Last Updated: Jul 7, 2016

Practice Location

Address: 113 CROSS CREEK BLVD
City: Salem
State: Illinois
ZIP Code: 62881-1921
Phone: (618) 548-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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