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1407008568
TERRENCE A CLARK
WILSONVILLE, OR
NPI
1407008568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D6352)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
DR. TERRENCE A CLARK DMD
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070-9491
Phone number: 503-682-0431
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Mailing Address
DR. TERRENCE A CLARK DMD
29292 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070-9491
Phone number: 503-682-0431
Copy
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