Perry, Mark Clawson
Perry, Mark Clawson is an sole proprietor health care provider with primary practice located at 8412 83Rd Ave Sw , Lakewood WA 98498-6074. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Perry, Mark Clawson can be contacted via phone (253) 588-6208.Contact Information
Primary practice address
8412 83Rd Ave Sw
Lakewood WA 98498-6074
Phone: (253) 588-6208
Fax: (253) 582-0626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00005861 | Washington |
Profile Details
| NPI number | 1720204803 |
|---|---|
| LBN Legal business name | Perry, Mark Clawson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720204803 | NPPES |
| West Virginia | MEDICAID | 5029780 |
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