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1225341415
THOMAS CLARK
WILSONVILLE, OR
NPI
1225341415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D9460)
Enumeration Date
2010-07-16
Last Update Date
2013-12-17
Business Address
-- THOMAS CLARK DMD
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070-9491
Phone number: 506-682-0431
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Mailing Address
-- THOMAS CLARK DMD
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070-9491
Phone number: 506-682-0431
Copy
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