Individual
DR. DAVID ALLEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4209 TIETON DR, SUITE 102, YAKIMA, WA 98908-3377
(509) 966-2230
Mailing address
4209 TIETON DR, SUITE 102, YAKIMA, WA 98908-3377
(509) 966-2230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60023580
WA
Other
Enumeration date
08/06/2008
Last updated
10/14/2011
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