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
ZIP Code
87417-9452
Phone
(505) 598-6800

Specialties & Taxonomy Codes

Specialty
Dentist

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