Clark, Edward Lee
Clark, Edward Lee is an sole proprietor health care provider with primary practice located at 2727 Sw 17Th Pl , Redmond OR 97756-1297. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, Edward Lee can be contacted via phone (541) 548-3896.Contact Information
Primary practice address
2727 Sw 17Th Pl
Redmond OR 97756-1297
Phone: (541) 548-3896
Fax: (541) 548-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6918 | Oregon |
Profile Details
| NPI number | 1528074523 |
|---|---|
| LBN Legal business name | Clark, Edward Lee |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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