Organization
CLARK ORAL SURGERY AND IMPLANT CENTER
Active
Other names
Dr. Tyler L. Clark
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTHER MASTRANDREA (OFFICE MANAGER)
(503) 245-1100
Entity
Organization
Contact information
Practice address
9430 SW CORAL ST STE 200, TIGARD, OR 97223-6692
(503) 245-1100
(503) 473-8300
Mailing address
9430 SW CORAL ST STE 200, TIGARD, OR 97223-6692
(503) 245-1100
(503) 473-8300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10177
OR
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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