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Larry Clark
General Practice Dentistry in Boscobel, Wisconsin
NPI 1174945919

Larry Clark is a General Practice Dentistry based in Boscobel, WI and is specialized in General Practice. Larry Clark practices in Boscobel, WI. The NPI Number for Larry Clark is 1174945919 and holds a License No. 5001678 (Wisconsin).

The current practice location address for Larry Clark is 105 E Bluff St, Boscobel, WI and can be reached out via phone at 608-375-4549.

Location: 105 E Bluff St, Boscobel, WI, 53805-1610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174945919
Provider Name
Larry Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 E Bluff St, Boscobel, WI, 53805-1610
Phone Number
608-375-4549
Fax Number
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 E Bluff St
City
Boscobel
State
Wisconsin
Zip
53805-1610
Phone Number
608-375-4549
Fax Number
person
Provider Business Mailing Address Details
Address
105 E Bluff St
City
Boscobel
State
Wisconsin
Zip
53805-1610
Phone Number
608-375-4549
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5001678 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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