Clark, Philip Richard
Clark, Philip Richard is an individual health care provider with primary practice located at 5929 Evergreen Way Suite 100, Everett WA 98203-6031. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Philip Richard can be contacted via phone (425) 353-4469.Contact Information
Primary practice address
5929 Evergreen Way Suite 100
Everett WA 98203-6031
Phone: (425) 353-4469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7062 | Washington |
Profile Details
| NPI number | 1629040183 |
|---|---|
| LBN Legal business name | Clark, Philip Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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