MIKE L CLARK

YAKIMA, WA
NPI1093790396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  00010004)
Enumeration Date2005-12-08
Last Update Date2007-07-08
Business Address
-- MIKE L CLARK DDS
1012 S 40TH AVE
YAKIMA, WA 98908-3804
Phone number: 509-966-9253
Mailing Address
-- MIKE L CLARK DDS
1012 S 40TH AVE
YAKIMA, WA 98908-3804
Phone number: 509-966-9253
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