Thomas Clark, DMD
NPI #1225341415 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1225341415
- Entity Type
- Individual
- Name
- Thomas Clark, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 16, 2010
- Last Updated
- Dec 17, 2013
Practice Location
- Address
- 29292 SW TOWN CENTER LOOP E
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9491
- Phone
- (506) 682-0431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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