# CLARK DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVIS CLARK, DDS
- **Other names:** David Clark, DDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205259694
- **Legal business name:** DAVIS CLARK, DDS
- **Authorized official:** DAVID CLARK DDS (DENTIST/OWNER)
- **Authorized official phone:** (253) 474-4292

## Contact information

- **Practice address:** 3402 S 38TH ST, TACOMA, WA 98409-4638
- **Practice address phone:** (253) 472-4292
- **Practice address fax:** (253) 474-7708
- **Mailing address:** 3402 S 38TH ST, TACOMA, WA 98409-4638
- **Mailing address phone:** (253) 472-4292
- **Mailing address fax:** (253) 474-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00006114 | WA | Yes |
| 122300000X | Dentist | DE00008552 | WA | — |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014