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1629040183
PHILIP RICHARD CLARK
EVERETT, WA
NPI
1629040183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WA 7062)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
DR. PHILIP RICHARD CLARK DDS
5929 EVERGREEN WAY SUITE 100
EVERETT, WA 98203-6031
Phone number: 425-353-4469
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Mailing Address
DR. PHILIP RICHARD CLARK DDS
4503 SEAHURST AVE
EVERETT, WA 98203-1717
Phone number: 425-252-2180
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