DR. Timothy Paul Clark, DDS

NPI #1194800946 in Becker, Minnesota

Provider Information

NPI Number
1194800946
Entity Type
Individual
Name
DR. Timothy Paul Clark, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
12392 PLEASANT AVE.
City
Becker
ZIP Code
55308-0098
Phone
(763) 261-5350

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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