R. Lynn Clark, D.d.s., P.c.

NPI #1134374507 in Edmond, Oklahoma

Provider Information

NPI Number: 1134374507
Entity Type: Organization
Organization Name: R. Lynn Clark, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 26, 2008
Last Updated: Nov 26, 2008

Practice Location

Address: 301 S BOULEVARD ST
City: Edmond
State: Oklahoma
ZIP Code: 73034-3878
Phone: (405) 348-9182

Authorized Official

Name: DR. RANDOLPH LYNN CLARK, D.D.S.
Title: OWNER
Phone: (405) 348-9182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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