Individual
PAIGE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE KNOLL DR, FLAGSTAFF, AZ 86011-0001
(928) 523-5122
Mailing address
2345 W CHINOOK DR, SAN TAN VALLEY, AZ 85142-3154
(480) 292-6173
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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