Eric Joseph Clark, DDS

NPI #1083824478 in Blythe, California

Provider Information

NPI Number: 1083824478
Entity Type: Individual
Name: Eric Joseph Clark, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 500 N BROADWAY
Address 2: #4
City: Blythe
State: California
ZIP Code: 92225-1279
Phone: (760) 922-0266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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