DR. Jev Clark

NPI #1558622936 in Salem, Oregon

Provider Information

NPI Number
1558622936
Entity Type
Individual
Name
DR. Jev Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 1, 2012
Last Updated
Oct 18, 2021

Practice Location

Address
2266 MISSION ST SE
City
Salem
State
Oregon
ZIP Code
97302-1267
Phone
(503) 375-2000

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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