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Organization

DEVIN CLARK, DDS, PLLC

Active
Other names
Winlock Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEVIN CLARK DDS (OWNER/MEMBER)
(801) 808-3375
Entity
Organization

Contact information

Practice address
617 CEMETERY RD STE A, WINLOCK, WA 98596-9303
(360) 785-4655
(360) 785-3336
Mailing address
PO BOX 399, WINLOCK, WA 98596-0399
(360) 785-4755
(360) 785-3336

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/27/2020
Last updated
01/27/2020
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