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
State
Hawaii
ZIP Code
96853-5399
Phone
(808) 448-6371

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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