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Search › Idaho › General Practice Dentistry

Ryan Clark, D.D.S

NPI 1356639892 · on the registry since 2011 · sole proprietor

Practice

Address
580 W Parkcenter Blvd Ste B
Boise, ID 83706
Phone
(208) 336-8478
Fax
(208) 342-2703
Organisation at this address
Hidden Creek Dental
Hidden Creek Dental, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-19

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 Idaho