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Tanner Clark, D.D.S., M.S
NPI 1790734796 · on the registry since 2006
Practice
- Address
- 650 W. Cherry St.
Suite 5
North Liberty, IA 52317 - Phone
- (319) 626-3161
- Organisation at this address
- Corridor Pharmacy
Clark Orthodontics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-26
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 Iowa