DR. MICHAEL L. CLARK, , DC in EVERETT - NPI - 1992790752
DR. MICHAEL L. CLARK, is a dentist based out of EVERETT,Washington DR. MICHAEL practices in EVERETT,Washington and has the professional credentials of DC .The NPI Number for DR. MICHAEL L. CLARK, is 1992790752 and he holds a Licence No. 1868(Washington).
DR. MICHAEL current practice location address is 9404 EVERGREEN WAY,,EVERETT,Washington and he can be reached out via phone at 4253538332 and via fax at4252907393. You can also correspond with DR. MICHAEL L. CLARK, through mail at his mailing address at9404 EVERGREEN WAY,,EVERETT,Washington – 982047133 (mailing address contact number – 982047133).
Provider Profile Details
| NPI Number | 1992790752 |
| Provider Name | DR. MICHAEL L. CLARK, |
| DC | |
| Gender | 39526 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 111N00000X |
| Last Update Date | 38611 |
Provider Business Mailing Address Details
| Address | 9404 EVERGREEN WAY, |
| City | EVERETT |
| State | Washington |
| Zip | 982047133 |
| Phone Number | 4253538332 |
Provider Business Practice Location Address Details
| Address | 9404 EVERGREEN WAY, |
| City | EVERETT |
| State | Washington |
| Zip | 982047133 |
| Phone Number | 4253538332 |
Provider's Primary Taxonomy Details
| Taxonomy | 111N00000X |
| License No. | 1868 |
| State | Washington |