Search › New Mexico › 122300000X
Lance Clark, DMD
NPI 1194960914 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1698 Rio Bravo Blvd Sw
Albuquerque, NM 87105 - Phone
- (505) 247-2717
- Organisation at this address
- Families Plus, Inc
Dental Partners Of Rio Bravo LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- NM, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-23
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