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1407995426
JEFFREY CLARK
COUNCIL BLUFFS, IA
NPI
1407995426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NM 12-2006)
Enumeration Date
2007-02-06
Last Update Date
2024-09-04
Business Address
JEFFREY CLARK DMD
902 S 6TH ST
COUNCIL BLUFFS, IA 51501-6441
Phone number: 712-325-1990
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Mailing Address
JEFFREY CLARK DMD
902 S 6TH ST
COUNCIL BLUFFS, IA 51501-6441
Phone number: 712-325-1990
Copy
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