Individual provider · Type 1 NPI

Terrence A. Clark, DMD

General Practice Dentistry · Wilsonville, OR

NPI number 1407008568 Active

About NPI 1407008568

Terrence A. Clark, DMD's National Provider Identifier is 1407008568, issued on Oct 21, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wilsonville, OR. The record was last updated on Oct 21, 2008.