Individual
DR. MARTIN THOMAS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 257-4478
Mailing address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 257-4478
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0013317
TX
Other
Enumeration date
01/13/2006
Last updated
10/11/2007
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