DR. Clarke Landon Short, DDS

NPI #1740630789 in Ontario, Oregon

Provider Information

NPI Number: 1740630789
Entity Type: Individual
Name: DR. Clarke Landon Short, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 21, 2016
Last Updated: Feb 6, 2018

Practice Location

Address: 347 W IDAHO AVE
City: Ontario
State: Oregon
ZIP Code: 97914-2344
Phone: (801) 850-7280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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