DENNIS P. CLARK, D.M.D., P.C.
Dentist at Coral St, Portland, OR

License number
Oregon D7829
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. DENNIS P CLARK DMD
Title: PRESIDENT
Phone: (503) 245-1100
Address
Address
9430 SW Coral St SUITE 200, Portland, OR 97223
National Provider ID: 1235249160
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DENNIS P. CLARK, D.M.D., PC

Portland, OR

Doing business as:
Dennis P Clark DMD PC
Registration:
Oct 10, 2003
Site:
www.portlandwestsideoralsurgery.com
Phone:
(503) 245-1100 (Phone), (503) 473-8300 (Fax)
Addresses:
9430 SW Coral St STE 200, Portland, OR 97223 (Physical)
C/O Markowitz Herbold Pc 1211 Sw 5 Ave #3000, Portland, OR 97204 (Mailing)
State ID:
17724394
Business type:
Domestic Professional Corporation
President:
Mr Dennis Clark (President)
Agent:
Jeffrey Medelson,C/O Markowitz Herbold Et Al 1211 Sw 5 Ave #3000, Portland, OR 97204 (Physical)
Categories:
Dentists

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