Individual
CAMERON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
869 NW 23RD ST, CORVALLIS, OR 97330-4307
(541) 757-1829
Mailing address
3002 SUNROSE CT, PHILOMATH, OR 97370-9427
(503) 502-5752
(541) 757-8628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9301
OR
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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