BRETT CLARK

MADISON, WI
NPI1073699856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5014-015)
Enumeration Date2006-10-27
Last Update Date2013-02-11
Business Address
-- BRETT CLARK D.D.S.
6317 ODANA RD
MADISON, WI 53719-1107
Phone number: 608-274-1911
Mailing Address
-- BRETT CLARK D.D.S.
6317 ODANA RD
MADISON, WI 53719-1107
Phone number: 608-274-1911
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