Dr. James L Clark, DDS

NPI #1831601657 in Ada, Oklahoma

Provider Information

NPI Number: 1831601657
Entity Type: Organization
Organization Name: Dr. James L Clark, DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2017
Last Updated: Nov 2, 2017

Practice Location

Address: 116 E 14TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6518
Phone: (580) 279-5760

Authorized Official

Name: LATISHA BOOTH
Title: OFFICE MANAGER
Phone: (580) 279-5760

Specialties & Taxonomy Codes

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

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