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Organization
TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC
Active
Organization
TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR CLARK DDS (OWNER)
(970) 247-4848
Entity
Organization
Contact information
Practice address
835 E 2ND AVE, SUITE 270, DURANGO, CO 81301-5475
(970) 247-4848
(970) 247-8320
Mailing address
835 E 2ND AVE, SUITE 270, DURANGO, CO 81301-5475
(970) 247-4848
(970) 247-8320
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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