Taylor Clark, DDS
NPI #1336155571 in Kirtland, New Mexico
Provider Information
- NPI Number
- 1336155571
- Entity Type
- Individual
- Name
- Taylor Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Aug 9, 2011
Practice Location
- Address
- 3 ROAD 6523
- City
- Kirtland
- State
- New Mexico
- ZIP Code
- 87417-9452
- Phone
- (505) 598-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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