Individual
DR. CLARK RICHARD ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1110 S WASHINGTON AVE, EMMETT, ID 83617
(208) 963-0055
Mailing address
1110 S WASHINGTON AVE, EMMETT, ID 83617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3922
ID
Other
Enumeration date
11/23/2005
Last updated
11/18/2011
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