Individual
DR. RACHEL C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
601 WISCONSIN AVE # 35, CENTURIA, WI 54824-9042
(715) 646-2161
Mailing address
601 WISCONSIN AVE # 35, CENTURIA, WI 54824-9042
(715) 646-2161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001022-15
WI
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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