Clark, David Kyle
Clark, David Kyle is an individual health care provider with primary practice located at 2120 Bert Kouns Loop Ste D , Shreveport LA 71118-3351. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, David Kyle can be contacted via phone (318) 687-9800.Contact Information
Primary practice address
2120 Bert Kouns Loop Ste D
Shreveport LA 71118-3351
Phone: (318) 687-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6204 | Louisiana |
Profile Details
| NPI number | 1548427693 |
|---|---|
| LBN Legal business name | Clark, David Kyle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | Jul 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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