Individual
DR. CLARK EDWARD, FIELD BASSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6611 DEBARR RD STE 200, ANCHORAGE, AK 99504-1706
(907) 337-0404
Mailing address
6611 DEBARR RD STE 200, ANCHORAGE, AK 99504-1706
(907) 337-0404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1420
AK
Other
Enumeration date
07/01/2011
Last updated
09/30/2013
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