DR. Thomas R Clark, DDS

NPI #1952381840 in Muncie, Indiana

Provider Information

NPI Number: 1952381840
Entity Type: Individual
Name: DR. Thomas R Clark, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3410 W PURDUE AVE
City: Muncie
State: Indiana
ZIP Code: 47304-5267
Phone: (765) 747-9545

Specialties & Taxonomy Codes

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

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