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Search › Wisconsin › General Practice Dentistry

Larry Clark

NPI 1174945919 · on the registry since 2014

Practice

Address
105 E Bluff St
Boscobel, WI 53805
Phone
(608) 375-4549
Organisation at this address
L L Clark Dds Sc
Boscobel Family Dental, Llc
Boscobel Family Dental Care Llc
Scenic Bluffs Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin