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Organization
TYLER D. CLARK DMD, PC
Active
Organization
TYLER D. CLARK DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER D CLARK DMD (OWNER)
(541) 344-0413
Entity
Organization
Contact information
Practice address
27 W 17TH AVE, EUGENE, OR 97401-4012
(541) 344-0413
(541) 344-3657
Mailing address
27 W 17TH AVE, EUGENE, OR 97401-4012
(541) 344-0413
(541) 344-3657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9605
OR
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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