Individual
DR. PHILIP RICHARD CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5929 EVERGREEN WAY, SUITE 100, EVERETT, WA 98203-6031
(425) 353-4469
Mailing address
4503 SEAHURST AVE, EVERETT, WA 98203-1717
(425) 252-2180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7062
WA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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