Short, Clarke Landon

Short, Clarke Landon is an sole proprietor health care provider with primary practice located at 347 W Idaho Ave , Ontario OR 97914-2344. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Short, Clarke Landon can be contacted via phone (801) 850-7280.

Contact Information

Primary practice address
347 W Idaho Ave Ontario OR 97914-2344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-4755 Idaho

Profile Details

NPI number 1740630789
LBN Legal business name Short, Clarke Landon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Feb 6th, 2018 - about 6 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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