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1124018379
CANDICE ELLA CLARK
FARMINGTON, NM
NPI
1124018379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD2673)
Enumeration Date
2005-10-27
Last Update Date
2007-07-08
Business Address
Dr. CANDICE ELLA CLARK DDS
506 AIRPORT DR
FARMINGTON, NM 87401-2602
Phone number: 505-325-7700
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Mailing Address
Dr. CANDICE ELLA CLARK DDS
530 N TELSHOR BLVD SUITE A
LAS CRUCES, NM 88011-8243
Phone number: 505-532-5437
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