David A Clark Dds Pllc | |
4209 Tieton Dr Ste 102 Yakima WA 98908-3377 | |
(509) 966-2230 | |
(509) 966-8812 |
Full Name | David A Clark Dds Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 4209 Tieton Dr Ste 102, Yakima, Washington |
Authorized Official Name and Position | David A Clark (OWNER) |
Authorized Official Contact | 5099662230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David A Clark Dds Pllc 4209 Tieton Dr Ste 102 Yakima WA 98908-3377 Ph: (509) 966-2230 | David A Clark Dds Pllc 4209 Tieton Dr Ste 102 Yakima WA 98908-3377 Ph: (509) 966-2230 |
NPI Number | 1073936837 |
---|---|
Provider Enumeration Date | 01/30/2014 |
Last Update Date | 01/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073936837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE60023580 (Washington) | Primary |
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