Organization
H. CLARK STURDIVANT, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK STURDIVANT D.D.S. (DENTIST)
(360) 385-0567
Entity
Organization
Contact information
Practice address
608 POLK ST, PORT TOWNSEND, WA 98368-6532
(360) 385-0567
(360) 385-0679
Mailing address
608 POLK ST, PORT TOWNSEND, WA 98368-6532
(360) 385-0567
(360) 385-0679
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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