Organization
DENNIS P. CLARK, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS P CLARK DMD (PRESIDENT)
(503) 245-1100
Entity
Organization
Contact information
Practice address
9430 SW CORAL ST, SUITE 200, TIGARD, OR 97223-6691
(503) 245-1100
(503) 473-8300
Mailing address
9430 SW CORAL ST, SUITE 200, TIGARD, OR 97223-6691
(503) 245-1100
(503) 473-8300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7829
OR
Other
Enumeration date
08/30/2006
Last updated
04/01/2015
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