DR. Edward Lee Clark, DMD

NPI #1528074523 in Redmond, Oregon

Provider Information

NPI Number
1528074523
Entity Type
Individual
Name
DR. Edward Lee Clark, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2727 SW 17TH PL
State
Oregon
ZIP Code
97756-1297
Phone
(541) 548-3896

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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