Individual
DR. JEFFREY DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8765 E BELL RD, STE 210, SCOTTSDALE, AZ 85260-1321
(480) 585-1853
(480) 585-7695
Mailing address
8765 E BELL RD, STE 210, SCOTTSDALE, AZ 85260-1321
(480) 585-1853
(480) 585-7695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4585
AZ
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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