MR. TAYLOR CLARK, DDS
Dentist
Active
Individual
NPI: 1780635037
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D3624 (ID) |
Frequently Asked Questions
NPI 1780635037 is the National Provider Identifier for MR. TAYLOR CLARK, DDS, a Dentist provider located in Boise, ID. This NPI was enumerated on May 12, 2006.
MR. TAYLOR CLARK, DDS practices at 6019 N EAGLE RD, Boise, ID 83713.
Quick Facts
- NPI
- 1780635037
- Type
- Individual
- Enumerated
- May 12, 2006
- Last Updated
- Jul 8, 2007
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