DR. Candice Ella Clark, DDS
NPI #1124018379 in Farmington, New Mexico
Provider Information
- NPI Number
- 1124018379
- Entity Type
- Individual
- Name
- DR. Candice Ella Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 506 AIRPORT DR
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-2602
- Phone
- (505) 325-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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