Organization
CURTIS M. CLARK D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS CLARK (DENTIST)
(541) 754-0600
Entity
Organization
Contact information
Practice address
2500 NW CENTURY DR, CORVALLIS, OR 97330-3498
(541) 754-0600
(541) 758-4282
Mailing address
2500 NW CENTURY DR, CORVALLIS, OR 97330-3498
(541) 754-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7902
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629067418
NPI
—
Enumeration date
02/15/2018
Last updated
02/15/2018
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