Clarke L Short DDS LLC

NPI #1639678337 in Ontario, Oregon

Provider Information

NPI Number: 1639678337
Entity Type: Organization
Organization Name: Clarke L Short DDS LLC
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2018
Last Updated: Feb 8, 2018

Practice Location

Address: 347 WEST IDAHO AVENUE
City: Ontario
State: Oregon
ZIP Code: 97914-9791
Phone: (541) 889-8837

Authorized Official

Name: CLARKE SHORT
Title: DENTIST
Phone: (801) 850-7280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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