Tyler D. Clark Dmd, Pc | |
27 W 17th Ave Eugene OR 97401-4012 | |
(541) 344-0413 | |
(541) 344-3657 |
Full Name | Tyler D. Clark Dmd, Pc |
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Speciality | Dentist |
Location | 27 W 17th Ave, Eugene, Oregon |
Authorized Official Name and Position | Tyler D Clark (OWNER) |
Authorized Official Contact | 5413440413 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tyler D. Clark Dmd, Pc 27 W 17th Ave Eugene OR 97401-4012 Ph: (541) 344-0413 | Tyler D. Clark Dmd, Pc 27 W 17th Ave Eugene OR 97401-4012 Ph: (541) 344-0413 |
NPI Number | 1144709635 |
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Provider Enumeration Date | 08/07/2018 |
Last Update Date | 08/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144709635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D9605 (Oregon) | Primary |
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West Coast Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 W 8th Ave, Eugene, OR 97401 Phone: 541-343-1124 | |
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