Search › Arizona › 122300000X
Robert Clark, D.D.S
NPI 1558420638 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11169 W Alabama Ave
Youngtown, AZ 85363 - Phone
- (623) 933-2971
- Fax
- (623) 972-4420
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AZ
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 Arizona