Individual provider · Type 1 NPI

Derval Clarke, DDS

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1992066682 Active

Practice location

625 Elmwood Ave # 683
Rochester, NY 14620-2913

Call (585) 275-5051 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992066682

Derval Clarke, DDS's National Provider Identifier is 1992066682, issued on May 30, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on May 30, 2012.