| Taylor M. Clark, D.d.s., Professional Llc | |
|
835 E 2nd Ave Suite 270 Durango CO 81301-5475 | |
| (970) 247-4848 | |
| (970) 247-8320 |
| Full Name | Taylor M. Clark, D.d.s., Professional Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 835 E 2nd Ave, Durango, Colorado |
| Authorized Official Name and Position | Taylor Clark (OWNER) |
| Authorized Official Contact | 9702474848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor M. Clark, D.d.s., Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 | Taylor M. Clark, D.d.s., Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 |
| NPI Number | 1225433170 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225433170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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