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1194960914
LANCE D. CLARK
ALBUQUERQUE, NM
NPI
1194960914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NM DD3584)
Additional Taxonomies
122300000X Dentist
(Licence: WY 1206)
Enumeration Date
2008-12-08
Last Update Date
2012-01-23
Business Address
DR. LANCE D. CLARK DMD
1698 RIO BRAVO BLVD SW
ALBUQUERQUE, NM 87105-6027
Phone number: 505-247-2717
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Mailing Address
DR. LANCE D. CLARK DMD
1698 RIO BRAVO BLVD SW
ALBUQUERQUE, NM 87105-6027
Phone number: 505-247-2717
Copy
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