EDWARD CLARK, DDS
Dentist - General Practice
Active
Individual
NPI: 1205843604
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 750 (WY) |
Frequently Asked Questions
NPI 1205843604 is the National Provider Identifier for EDWARD CLARK, DDS, a Dentist - General Practice provider located in Cheyenne, WY. This NPI was enumerated on August 1, 2006.
EDWARD CLARK, DDS practices at 5211 YELLOWSTONE RD, STE # 1, Cheyenne, WY 82009.
Quick Facts
- NPI
- 1205843604
- Type
- Individual
- Enumerated
- Aug 1, 2006
- Last Updated
- Jul 8, 2007
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