Organization
CLARK DENTAL GROUP
Active
Parent organization
DAVIS CLARK, DDS
Other names
David Clark, DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVIS CLARK, DDS
Authorized official
DAVID CLARK DDS (DENTIST/OWNER)
(253) 474-4292
Entity
Organization
Contact information
Practice address
3402 S 38TH ST, TACOMA, WA 98409-4638
(253) 472-4292
(253) 474-7708
Mailing address
3402 S 38TH ST, TACOMA, WA 98409-4638
(253) 472-4292
(253) 474-7708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006114
WA
122300000X
Dentist
DE00008552
WA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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