DR. TIMOTHY CLARK, DDS
Dentist - General Practice
Active
Individual
NPI: 1194800946
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 10140 (MN) |
Frequently Asked Questions
NPI 1194800946 is the National Provider Identifier for DR. TIMOTHY CLARK, DDS, a Dentist - General Practice provider located in Becker, MN. This NPI was enumerated on October 26, 2006.
DR. TIMOTHY CLARK, DDS practices at 12392 PLEASANT AVE., Becker, MN 55308.
Quick Facts
- NPI
- 1194800946
- Type
- Individual
- Enumerated
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
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