Tyler Duane Clark, DMD Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1447538954
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D9605 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-08-01
- Last updated
- 2011-08-01
Practice location
27 W 17th Ave
Eugene, OR 97401-4012
(541) 344-0413