Individual
SHARA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 COMMERCIAL WAY, MONTROSE, CO 81401-5693
(970) 249-4301
Mailing address
2720 COMMERCIAL WAY, MONTROSE, CO 81401-5693
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000906614
CO
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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