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1386778520
MICHAEL V. CLARK
CHEYENNE, WY
NPI
1386778520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: WY 1108)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL V. CLARK DDS
6900 YELLOWTAIL RD SUITE 100
CHEYENNE, WY 82009-6102
Phone number: 307-635-9251
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Mailing Address
Dr. MICHAEL V. CLARK DDS
6900 YELLOWTAIL RD SUITE 100
CHEYENNE, WY 82009-6102
Phone number: 307-635-9251
Copy
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