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Organization
DEVIN CLARK, DDS, PLLC
Active
Organization
DEVIN CLARK, DDS, PLLC
Active
Other names
Winlock Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN CLARK DDS (OWNER/MEMBER)
(801) 808-3375
Entity
Organization
Contact information
Practice address
617 CEMETERY RD STE A, WINLOCK, WA 98596-9303
(360) 785-4655
(360) 785-3336
Mailing address
PO BOX 399, WINLOCK, WA 98596-0399
(360) 785-4755
(360) 785-3336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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