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1043220684
BRUCE R CLARK
FORT COLLINS, CO
NPI
1043220684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 7028)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. BRUCE R CLARK DDS
2550 STOVER ST BLDG E-102
FORT COLLINS, CO 80525
Phone number: 970-498-8607
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Mailing Address
Dr. BRUCE R CLARK DDS
2550 STOVER ST BLDG E-102
FORT COLLINS, CO 80525
Phone number: 970-498-8607
Copy
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