Organization
DAVID A CLARK DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A CLARK (OWNER)
(509) 966-2230
Entity
Organization
Contact information
Practice address
4209 TIETON DR STE 102, YAKIMA, WA 98908-3377
(509) 966-2230
(509) 966-8812
Mailing address
4209 TIETON DR STE 102, YAKIMA, WA 98908-3377
(509) 966-2230
(509) 966-8812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60023580
WA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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