Benjamin R Clarke, D.D.S.

NPI #1679565402 in Nellis Afb, Nevada

Provider Information

NPI Number: 1679565402
Entity Type: Individual
Name: Benjamin R Clarke, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 18, 2005
Last Updated: May 27, 2021

Practice Location

Address: 4700 LAS VEGAS BLVD N
City: Nellis Afb
State: Nevada
ZIP Code: 89191-6600
Phone: (702) 653-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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