Jeffrey C Clark D.D.S.

NPI 1689700684 - Dentist - 1223G0001X

NPI Details
NPI 1689700684
Gender Male
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
141 W 20TH STREET
FARMINGTON NM, 87401-3401, US
Phone (505) 325-7121
Fax (505) 564-3005
Business Location
141 W 20TH STREET
FARMINGTON NM, 87401-3401, US
Phone (505) 325-7121
Fax (505) 564-3005
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD2674
Remove 1689700684 NPI Number
 

According to our database, Dr. Jeffrey C Clark D.D.S. NPI is 1689700684, taxonomy code is 1223G0001X and license number is DD2674, license state is located at New Mexico. Jeffrey C Clark D.D.S. physically located at 141 W 20th Street, Farmington NM, 87401-3401. NPI Number Jeffrey C Clark D.D.S. has the Individual type.

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1689700684 NPI number is provided on an as is basis without warranty of any kind. 1689700684 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey C Clark D.D.S. are for informational purposes only.