DR. Philip Richard Clark, DDS

NPI #1629040183 in Everett, Washington

Provider Information

NPI Number
1629040183
Entity Type
Individual
Name
DR. Philip Richard Clark, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5929 EVERGREEN WAY
Address 2
SUITE 100
ZIP Code
98203-6031
Phone
(425) 353-4469

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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