Individual
DR. DEVIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 CEMETERY RD, WINLOCK, WA 98596-9303
(360) 785-4755
Mailing address
3 E SHORE DR, ASHEVILLE, NC 28805-2201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11032
NC
122300000X
Dentist
Primary
DE61007637
WA
Other
Enumeration date
06/04/2018
Last updated
01/07/2020
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