NPI 1053617308

David a Clark DDS PLLC

Organisation Dentist Yakima, WA

Practice location

Address: 4209 Tieton Dr STE 102, Yakima, WA 98908-3377
Phone: (509) 966-2230
Fax: (509) 966-8812

Authorised official

Name: David Allen Clark
Title: Owner
Phone: (509) 966-2233

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 60023580 (WA)

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Registry record

NPI: 1053617308
Entity type: Organization
NPI issued: 3 Feb 2011
Record last updated: 3 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.