DR. Jayson Clark, D.D.S.

NPI #1659667459 in Boise, Idaho

Provider Information

NPI Number: 1659667459
Entity Type: Individual
Name: DR. Jayson Clark, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 4274 N EAGLE ROAD
City: Boise
State: Idaho
ZIP Code: 83713
Phone: (208) 938-8228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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