Individual provider · Type 1 NPI

Raymond B. Clark, D.D.S

General Practice Dentistry · Jackson, MI

NPI number 1720118359 Active

About NPI 1720118359

Raymond B. Clark, D.D.S's National Provider Identifier is 1720118359, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MI. The record was last updated on Jul 8, 2007.