Dr. Mike L. Clark Family Dentistry
NPI #1760655005 in Yakima, Washington
Provider Information
- NPI Number
- 1760655005
- Entity Type
- Organization
- Organization Name
- Dr. Mike L. Clark Family Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 1012 S 40TH AVE
- City
- Yakima
- State
- Washington
- ZIP Code
- 98908-3804
- Phone
- (509) 575-0419
Authorized Official
- Name
- MRS. BETSY M WARD
- Title
- OFFICE MANAGER
- Phone
- (509) 575-0419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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