DR. Clark Richard Elkins, DMD

NPI #1386627222 in Emmett, Idaho

Provider Information

NPI Number: 1386627222
Entity Type: Individual
Name: DR. Clark Richard Elkins, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 23, 2005
Last Updated: Nov 18, 2011

Practice Location

Address: 1110 S WASHINGTON AVE
City: Emmett
State: Idaho
ZIP Code: 83617
Phone: (208) 963-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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