Individual
DR. EDWARD CLARK SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4001 E BELL RD, SUITE 120, PHOENIX, AZ 85032-2242
(602) 992-5600
(602) 992-2442
Mailing address
4001 E BELL ROAD, SUITE 120, PHOENIX, AZ 85032
(602) 992-5600
(602) 992-2442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6041
AZ
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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