Jill A Clark, RDH
NPI #1922061936 in Hickam Afb, Hawaii
Provider Information
- NPI Number
- 1922061936
- Entity Type
- Individual
- Name
- Jill A Clark, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Aug 6, 2012
Practice Location
- Address
- 755 SCOTT CIR
- Address 2
- BLDG 559
- City
- Hickam Afb
- State
- Hawaii
- ZIP Code
- 96853-5399
- Phone
- (808) 448-6371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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