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1558439174
CLARK DALE CHRISTOFFERSEN
DEER PARK, WA
NPI
1558439174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00005057)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Mr. CLARK DALE CHRISTOFFERSEN DDS
118 E CRAWFORD
DEER PARK, WA 99006
Phone number: 509-276-2421
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Mailing Address
Mr. CLARK DALE CHRISTOFFERSEN DDS
PO BOX 307 118 E CRAWFORD
DEER PARK, WA 99006
Phone number: 509-276-2421
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