EDWARD MARK CLARK

CHEYENNE, WY
NPI1205843604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  750)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- EDWARD MARK CLARK DDS
5211 YELLOWSTONE RD STE # 1
CHEYENNE, WY 82009-4761
Phone number: 307-634-7633
Mailing Address
-- EDWARD MARK CLARK DDS
5211 YELLOWSTONE RD STE # 1
CHEYENNE, WY 82009-4761
Phone number: 307-634-7633
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