R. Lynn Clark, D.d.s., P.c.

NPI 1134374507 - Dentist - 1223G0001X

NPI Details
NPI 1134374507
Enumeration Date 11/26/2008
Last Updated 11/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RANDOLPH LYNN RANDOLPH
Position OWNER
Phone (405) 348-9182
Fax
Practice Location
301 S BOULEVARD ST
EDMOND OK, 73034-3878, US
Phone (405) 348-9182
Fax
Business Location
301 S BOULEVARD ST
EDMOND OK, 73034-3878, US
Phone (405) 348-9182
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1134374507 NPI Number
 

According to our database, R. Lynn Clark, D.d.s., P.c. NPI is 1134374507, taxonomy code is 1223G0001X R. Lynn Clark, D.d.s., P.c. physically located at 301 S Boulevard St, Edmond OK, 73034-3878. NPI Number 1033115704 has the healthcare provider type.

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1134374507 NPI number is provided on an as is basis without warranty of any kind. 1134374507 is maintained by the National Plan & Provider Enumeration System. The contents of R. Lynn Clark, D.d.s., P.c. are for informational purposes only.