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Timothy Clark, DDS
NPI 1194800946 · on the registry since 2006
Practice
- Address
- 12392 Pleasant Ave.
Becker, MN 55308 - Phone
- (763) 261-5350
- Fax
- (763) 262-5351
- Organisation at this address
- Oasis Integrated Services L.L.C
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Minnesota