Dennis Willard Clark, D.D.S.

NPI #1427057157 in Lebanon, Oregon

Provider Information

NPI Number
1427057157
Entity Type
Individual
Name
Dennis Willard Clark, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 15, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
90 MARKET ST
Address 2
SUITE 80
State
Oregon
ZIP Code
97355-2394
Phone
(541) 451-1440

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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