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1053832907
DAVID STEPHEN CLARK
MUSKOGEE, OK
NPI
1053832907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 6977)
Enumeration Date
2017-06-30
Last Update Date
2018-06-16
Business Address
DAVID STEPHEN CLARK DDS
2909 AZALEA PARK DR
MUSKOGEE, OK 74401-2283
Phone number: 918-682-0544
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Mailing Address
DAVID STEPHEN CLARK DDS
5810 E SKELLY DR STE 1800
TULSA, OK 74135-6434
Phone number: 918-998-0996
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