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1487644183
STEPHEN B CLARK
FARMINGTON, NM
NPI
1487644183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD871)
Enumeration Date
2005-10-24
Last Update Date
2007-07-08
Business Address
-- STEPHEN B CLARK DDS,MS
701 N DUSTIN AVE
FARMINGTON, NM 87401-6101
Phone number: 505-327-4495
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Mailing Address
-- STEPHEN B CLARK DDS,MS
701 N DUSTIN AVE
FARMINGTON, NM 87401-6101
Phone number: 505-327-4495
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