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Search › Idaho › Dentist

Hatta Clark, DDS

NPI 1972891240 · on the registry since 2011

Practice

Address
1090 W Park Pl
Coeur D Alene, ID 83814
Phone
(208) 292-0697
Fax
(208) 292-0357
Organisation at this address
Dirne Health Centers Inc
Dirne Health Centers Inc
Dirne Health Centers, Inc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-17

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