Tyler D. Clark Dmd, PC

NPI #1144709635 in Eugene, Oregon

Provider Information

NPI Number: 1144709635
Entity Type: Organization
Organization Name: Tyler D. Clark Dmd, PC
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 27 W 17TH AVE
City: Eugene
State: Oregon
ZIP Code: 97401-4012
Phone: (541) 344-0413

Authorized Official

Name: TYLER D CLARK, DMD
Title: OWNER
Phone: (541) 344-0413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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