David a Clark DDS Pllc

NPI #1053617308 in Yakima, Washington

Provider Information

NPI Number: 1053617308
Entity Type: Organization
Organization Name: David a Clark DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 3, 2011
Last Updated: Feb 3, 2011

Practice Location

Address: 4209 TIETON DR STE 102
City: Yakima
State: Washington
ZIP Code: 98908-3377
Phone: (509) 966-2230

Authorized Official

Name: DR. DAVID ALLEN CLARK, DDS
Title: OWNER
Phone: (509) 966-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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