Tyler Duane Clark, DMD

NPI #1447538954 in Eugene, Oregon

Provider Information

NPI Number: 1447538954
Entity Type: Individual
Name: Tyler Duane Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 1, 2011
Last Updated: Aug 1, 2011

Practice Location

Address: 27 W 17TH AVE
City: Eugene
State: Oregon
ZIP Code: 97401-4012
Phone: (541) 344-0413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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