Stephen B Clark, DDS,MS
NPI #1487644183 in Farmington, New Mexico
Provider Information
- NPI Number
- 1487644183
- Entity Type
- Individual
- Name
- Stephen B Clark, DDS,MS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist
- Credential
- DDS,MS
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 701 N DUSTIN AVE
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-6101
- Phone
- (505) 327-4495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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