Search › Wyoming › 1223G0001X
Edward Clark, DDS
NPI 1205843604 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5211 Yellowstone Rd
Ste # 1
Cheyenne, WY 82009 - Phone
- (307) 634-7633
- Fax
- (307) 634-7664
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WY
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 Wyoming