Search › New Mexico › 1223E0200X
Shane Clark, DMD
NPI 1003220203 · on the registry since 2014
Practice
- Address
- 2800 Coors Blvd Nw
Albuquerque, NM 87120 - Phone
- (505) 352-1166
- Organisation at this address
- Crds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico