LANCE D. CLARK

ALBUQUERQUE, NM
NPI1194960914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD3584)
Additional Taxonomies122300000X Dentist
(Licence: WY  1206)
Enumeration Date2008-12-08
Last Update Date2012-01-23
Business Address
Dr. LANCE D. CLARK DMD
1698 RIO BRAVO BLVD SW
ALBUQUERQUE, NM 87105-6027
Phone number: 505-247-2717
Mailing Address
Dr. LANCE D. CLARK DMD
1698 RIO BRAVO BLVD SW
ALBUQUERQUE, NM 87105-6027
Phone number: 505-247-2717
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