Jeffrey D Clark D D S P C

NPI #1184829053 in Scottsdale, Arizona

Provider Information

NPI Number: 1184829053
Entity Type: Organization
Organization Name: Jeffrey D Clark D D S P C
Primary Specialty: Dentist
Enumeration Date: Jun 19, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 8765 E BELL RD
Address 2: STE 201
City: Scottsdale
State: Arizona
ZIP Code: 85260-1319
Phone: (480) 585-1853

Authorized Official

Name: DR. JEFFREY D CLARK
Title: PRESIDENT
Phone: (480) 585-1853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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