| NPI | 1649040858 |
|---|---|
| Doing Business As | CLARK ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | PAUL CLARK Surgeon, Owner 503-927-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |