CHAD MICHAEL CLARK DDS, MS, BS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1952050924- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS, MS, BS
- Status
- Active
Contact & Location
- Address
- 604 MEADOWLARK LN, RIVERTON, WY, 825012214
- Phone
- (307) 343-5676
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist
Primary License: WY #1606