JAYSON CLARK

BOISE, ID
NPI1659667459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  d-4363)
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
Dr. JAYSON CLARK D.D.S.
4274 N EAGLE ROAD
BOISE, ID 83713
Phone number: 208-938-8228
Mailing Address
Dr. JAYSON CLARK D.D.S.
1781 W MILAZZO ST
MERIDIAN, ID 83646-5099
Phone number: 208-870-3028
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