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1699180448
BENJAMIN ALLEN CLARK
DURANT, OK
NPI
1699180448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 6633)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- BENJAMIN ALLEN CLARK DMD
1220 N WASHINGTON AVE
DURANT, OK 74701-2120
Phone number: 580-745-5400
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Mailing Address
-- BENJAMIN ALLEN CLARK DMD
1220 N WASHINGTON AVE
DURANT, OK 74701-2120
Phone number: 580-745-5400
Copy
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