SHANE THOMAS CLARK

ALBUQUERQUE, NM
NPI1003220203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: NM  DD4100)
Enumeration Date2014-06-16
Last Update Date2015-09-26
Business Address
Dr. SHANE THOMAS CLARK DMD
2800 COORS BLVD NW
ALBUQUERQUE, NM 87120-1204
Phone number: 505-352-1166
Mailing Address
Dr. SHANE THOMAS CLARK DMD
8400 OAKLAND AVE NE
ALBUQUERQUE, NM 87122-2721
Phone number: 512-689-8382