Clark, Laurie Kathleen

Clark, Laurie Kathleen is an sole proprietor health care provider with primary practice located at 777 E Galveston St , Chandler AZ 85225-8273. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Laurie Kathleen can be contacted via phone (480) 812-7900.

Contact Information

Primary practice address
777 E Galveston St Chandler AZ 85225-8273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H01509 Arizona

Profile Details

NPI number 1619382082
LBN Legal business name Clark, Laurie Kathleen
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 11 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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