Hidden Creek Dental

NPI #1225578768 in Boise, Idaho

Provider Information

NPI Number: 1225578768
Entity Type: Organization
Organization Name: Hidden Creek Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 2, 2017
Last Updated: Mar 2, 2017

Practice Location

Address: 580 W PARKCENTER BLVD
Address 2: SUITE B
City: Boise
State: Idaho
ZIP Code: 83706-3659
Phone: (208) 336-8478

Authorized Official

Name: DR. HARVEY JAMES CLARK, DDS
Title: OWNER
Phone: (208) 336-8478

Specialties & Taxonomy Codes

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

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