JEV CLARK

SALEM, OR
NPI1558622936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D10561)
Enumeration Date2012-06-01
Last Update Date2021-10-18
Business Address
Dr. JEV CLARK
2266 MISSION ST SE
SALEM, OR 97302-1267
Phone number: 503-375-2000
Mailing Address
Dr. JEV CLARK
2266 MISSION ST SE
SALEM, OR 97302-1267
Phone number: