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1780635037
TAYLOR COLEMAN CLARK
BOISE, ID
NPI
1780635037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3624)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mr. TAYLOR COLEMAN CLARK DDS
6019 N EAGLE RD
BOISE, ID 83713
Phone number: 208-938-8228
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Mailing Address
Mr. TAYLOR COLEMAN CLARK DDS
4400 N TEMPEST WAY
MERIDIAN, ID 83642
Phone number: 208-846-9226
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