Individual
DR. HARVEY JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
580 W PARKCENTER BLVD, BOISE, ID 83706-3659
(208) 336-8478
Mailing address
580 W PARKCENTER BLVD, BOISE, ID 83706-3659
(208) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1699
ID
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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