CARLY RENE' CLARK

PORTLAND, OR
NPI1760827356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: OR  H5380)
Enumeration Date2013-05-08
Last Update Date2013-05-08
Business Address
-- CARLY RENE' CLARK RDH, EP
3324 N ARLINGTON PL
PORTLAND, OR 97217-7204
Phone number: 503-887-5923
Mailing Address
-- CARLY RENE' CLARK RDH, EP
3324 N ARLINGTON PL
PORTLAND, OR 97217-7204
Phone number: 503-887-5923
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