Individual provider · Type 1 NPI

Jeffrey C. Clark, DDS

General Practice Dentistry · Farmington, NM

NPI number 1689700684 Active

About NPI 1689700684

Jeffrey C. Clark, DDS's National Provider Identifier is 1689700684, issued on Feb 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Farmington, NM. The record was last updated on Jul 8, 2007.