Individual
DR. RICHARD CHARLES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
(425) 348-5216
Mailing address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
(425) 348-5216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2493
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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