| Devin Clark, Dds, Pllc | |
|
617 Cemetery Rd Ste A Winlock WA 98596-9303 | |
| (360) 785-4655 | |
| (360) 785-3336 |
| Full Name | Devin Clark, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 617 Cemetery Rd Ste A, Winlock, Washington |
| Authorized Official Name and Position | Devin Clark (OWNER/MEMBER) |
| Authorized Official Contact | 8018083375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Clark, Dds, Pllc Po Box 399 Winlock WA 98596-0399 Ph: (360) 785-4755 | Devin Clark, Dds, Pllc 617 Cemetery Rd Ste A Winlock WA 98596-9303 Ph: (360) 785-4655 |
| NPI Number | 1992336127 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992336127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Winlock Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Cemetery Rd, Winlock, WA 98596 Phone: 360-785-4755 Fax: 360-785-3336 |