EDWARD LEE CLARK

REDMOND, OR
NPI1528074523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D6918)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
Dr. EDWARD LEE CLARK DMD
2727 SW 17TH PL
REDMOND, OR 97756-1297
Phone number: 541-548-3896
Mailing Address
Dr. EDWARD LEE CLARK DMD
2727 SW 17TH PL
REDMOND, OR 97756-1297
Phone number: 541-548-3896
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