Individual
DR. H CLARK STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608 POLK ST, PORT TOWNSEND, WA 98368-6532
(360) 385-0567
Mailing address
608 POLK ST, PORT TOWNSEND, WA 98368-6532
(360) 385-0567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7974
WA
Other
Enumeration date
05/17/2006
Last updated
11/22/2010
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