| David Clark, DDS | |
|
3402 S 38th St Tacoma WA 98409-4638 | |
| (253) 472-4292 | |
| (253) 474-7708 |
| Full Name | David Clark, DDS |
|---|---|
| Speciality | Dentist |
| Location | 3402 S 38th St, Tacoma, Washington |
| Authorized Official Name and Position | David Clark (DENTIST/OWNER) |
| Authorized Official Contact | 2534744292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Clark, DDS 3402 S 38th St Tacoma WA 98409-4638 Ph: (253) 472-4292 | David Clark, DDS 3402 S 38th St Tacoma WA 98409-4638 Ph: (253) 472-4292 |
| NPI Number | 1205259694 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205259694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00006114 (Washington) | Primary |
| 122300000X | Dentist | DE00008552 (Washington) | Secondary |
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