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1518898394
TYLOR RAY CLARK
BOISE, ID
NPI
1518898394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID 5381516)
Enumeration Date
2026-05-28
Last Update Date
2026-05-28
Business Address
Dr. TYLOR RAY CLARK DDS
4274 N EAGLE RD
BOISE, ID 83713-0726
Phone number: 208-938-8228
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Mailing Address
Dr. TYLOR RAY CLARK DDS
6039 W MIKONOS ST
MERIDIAN, ID 83646-8710
Phone number: 208-999-0296
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