Clark Family Dentistry PC

NPI #1649545138 in Redmond, Oregon

Provider Information

NPI Number: 1649545138
Entity Type: Organization
Organization Name: Clark Family Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

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

Authorized Official

Name: DR. EDWARD LEE CLARK, DMD
Title: OWNER
Phone: (541) 548-3896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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