# DEVIN CLARK, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winlock Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992336127
- **Authorized official:** DR. DEVIN CLARK DDS (OWNER/MEMBER)
- **Authorized official phone:** (801) 808-3375

## Contact information

- **Practice address:** 617 CEMETERY RD STE A, WINLOCK, WA 98596-9303
- **Practice address phone:** (360) 785-4655
- **Practice address fax:** (360) 785-3336
- **Mailing address:** PO BOX 399, WINLOCK, WA 98596-0399
- **Mailing address phone:** (360) 785-4755
- **Mailing address fax:** (360) 785-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 01/27/2020