Clark, Jeffrey Michael
Clark, Jeffrey Michael is an individual health care provider with primary practice located at 10429 Lagrima De Oro Rd Ne , Albuquerque NM 87111. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Jeffrey Michael can be contacted via phone (505) 297-8630.Contact Information
Primary practice address
10429 Lagrima De Oro Rd Ne
Albuquerque NM 87111
Phone: (505) 297-8630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DD4484 | New Mexico |
Profile Details
| NPI number | 1891989158 |
|---|---|
| LBN Legal business name | Clark, Jeffrey Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Feb 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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