| NPI | 1205259694 |
|---|---|
| Other Name | DAVID CLARK, DDS |
| Entity Type | Organization |
| Authorized Contact | DAVID CLARK Dentist/Owner 253-474-4292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00006114) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00008552) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |