TAYLOR COLEMAN CLARK

BOISE, ID
NPI1780635037
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy122300000X Dentist
(Licence: ID  D3624)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
MR. TAYLOR COLEMAN CLARK DDS
6019 N EAGLE RD
BOISE, ID 83713
Phone number: 208-938-8228
Mailing Address
MR. TAYLOR COLEMAN CLARK DDS
4400 N TEMPEST WAY
MERIDIAN, ID 83642
Phone number: 208-846-9226
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