Jeffrey David Clark DDS

NPI 1063418044 - Dentist - 122300000X

NPI Details
NPI 1063418044
Gender Male
Enumeration Date 06/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
8765 E BELL RD
STE 210
SCOTTSDALE AZ, 85260-1321, US
Phone (480) 585-1853
Fax (480) 585-7695
Business Location
8765 E BELL RD
STE 210
SCOTTSDALE AZ, 85260-1321, US
Phone (480) 585-1853
Fax (480) 585-7695
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 4585
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According to our database, Dr. Jeffrey David Clark DDS NPI is 1063418044, taxonomy code is 122300000X and license number is 4585, license state is located at Arizona. Jeffrey David Clark DDS physically located at 8765 E Bell Rd, Scottsdale AZ, 85260-1321. NPI Number Jeffrey David Clark DDS has the Individual type.

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1063418044 NPI number is provided on an as is basis without warranty of any kind. 1063418044 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey David Clark DDS are for informational purposes only.