Individual provider · Type 1 NPI

Julie Kolstad Clark

Denturist · Roseburg, OR

NPI number 1609589837 Active

Practice location

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042

Call (541) 672-9596 Map

Mailing address

847 SE Blakeley Ave
Roseburg, OR 97470-4828

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XDT-TMP-10228509 (OR)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1609589837

Julie Kolstad Clark's National Provider Identifier is 1609589837, issued on Jan 3, 2023. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Roseburg, OR. The record was last updated on Jan 3, 2023.