Mike L Clark, DDS
NPI #1093790396 in Yakima, Washington
Provider Information
- NPI Number
- 1093790396
- Entity Type
- Individual
- Name
- Mike L Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1012 S 40TH AVE
- City
- Yakima
- State
- Washington
- ZIP Code
- 98908-3804
- Phone
- (509) 966-9253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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