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L L Clark Dds Sc
General Practice Dentistry in Boscobel, Wisconsin
NPI 1497713176

L L Clark Dds Sc is a General Practice Dentistry based in Boscobel, WI and is specialized in General Practice. L L Clark Dds Sc practices in Boscobel, WI. The NPI Number for L L Clark Dds Sc is 1497713176 and holds a License No. 5001678015 (Wisconsin).

The current practice location address for L L Clark Dds Sc is 105 East Bluff Street, Boscobel, WI and can be reached out via phone at 608-375-4549 and via fax at 608-375-4665.

Location: 105 East Bluff Street, Boscobel, WI, 53805-9802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497713176
Provider Name
L L Clark Dds Sc
Credential
Provider Entity Type
Organization
Address
105 East Bluff Street, Boscobel, WI, 53805-9802
Phone Number
608-375-4549
Fax Number
608-375-4665
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33549200 05 WI
institution
Provider Business Practice Location Address Details
Address
105 East Bluff Street
City
Boscobel
State
Wisconsin
Zip
53805-9802
Phone Number
608-375-4549
Fax Number
608-375-4665
person
Provider Business Mailing Address Details
Address
105 East Bluff Street
City
Boscobel
State
Wisconsin
Zip
53805-9802
Phone Number
608-375-4549
Fax Number
608-375-4665
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5001678015 (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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