DR. Lance D. Clark, DMD
NPI #1194960914 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1194960914
- Entity Type
- Individual
- Name
- DR. Lance D. Clark, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Dec 8, 2008
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 1698 RIO BRAVO BLVD SW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87105-6027
- Phone
- (505) 247-2717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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