MR. Clark Dale Christoffersen, DDS

NPI #1558439174 in Deer Park, Washington

Provider Information

NPI Number: 1558439174
Entity Type: Individual
Name: MR. Clark Dale Christoffersen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 118 E CRAWFORD
City: Deer Park
State: Washington
ZIP Code: 99006
Phone: (509) 276-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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