Organization
GUY C CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY C CLARK DDS (PRESIDENT)
(505) 898-8011
Entity
Organization
Contact information
Practice address
3613 NM HWY 528 SUITE G, ALBUQUERQUE, NM 87114
(505) 898-8011
(505) 890-7423
Mailing address
3613 NM HWY 528 SUITE G, ALBUQUERQUE, NM 87114
(505) 898-8011
(505) 890-7423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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