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1649545138
CLARK FAMILY DENTISTRY PC
REDMOND, OR
NPI
1649545138
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Entity Type
Organization
Authorized Contact
EDWARD LEE CLARK
Owner
541-548-3896
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D6918)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
CLARK FAMILY DENTISTRY PC
2727 SW 17TH PL
REDMOND, OR 97756-1297
Phone number: 541-548-3896
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Mailing Address
CLARK FAMILY DENTISTRY PC
2727 SW 17TH PL
REDMOND, OR 97756-1297
Phone number: 541-548-3896
Copy
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