Organization
R. LYNN CLARK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH LYNN CLARK D.D.S. (OWNER)
(405) 348-9182
Entity
Organization
Contact information
Practice address
301 S BOULEVARD ST, EDMOND, OK 73034-3878
(405) 348-9182
Mailing address
301 S BOULEVARD ST, EDMOND, OK 73034-3878
(405) 348-9182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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