RYAN JAMES CLARK

BOISE, ID
NPI1356639892
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  4375)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
Dr. RYAN JAMES CLARK D.D.S.
580 W PARKCENTER BLVD STE B
BOISE, ID 83706
Phone number: 208-336-8478
Mailing Address
Dr. RYAN JAMES CLARK D.D.S.
580 W PARKCENTER BLVD STE B
BOISE, ID 83706
Phone number: 208-336-8478
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