DR. Russell Adelbert Clark, DDS

NPI #1306060249 in Marysville, Washington

Provider Information

NPI Number: 1306060249
Entity Type: Individual
Name: DR. Russell Adelbert Clark, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7825 47TH AVE NE
Address 2: SUITE C
City: Marysville
State: Washington
ZIP Code: 98270-3732
Phone: (360) 657-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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