Larry Clark

NPI #1174945919 in Boscobel, Wisconsin

Provider Information

NPI Number: 1174945919
Entity Type: Individual
Name: Larry Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 14, 2014
Last Updated: Jan 14, 2014

Practice Location

Address: 105 E BLUFF ST
City: Boscobel
State: Wisconsin
ZIP Code: 53805-1610
Phone: (608) 375-4549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Provider Name	Specialty	City
DR. Keith W. Nance, DDS	Dentist - General Practice	Boscobel	AI Deep Dive
DR. Stephen P Forsyth, DMD	Dentist - General Practice	Fond Du Lac	AI Deep Dive

Organizations

Provider Name	Specialty	City
Dr Michael S Mecikalski Sc	Dentist - General Practice	Boscobel	AI Deep Dive
L L Clark DDS Sc	Dentist - General Practice	Boscobel	AI Deep Dive
Boscobel Family Dental, LLC	Dentist - General Practice	Boscobel	AI Deep Dive

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