DR. Paul Kenneth Clark III, D.M.D, M.D.
NPI #1689994923 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1689994923
- Entity Type
- Individual
- Name
- DR. Paul Kenneth Clark III, D.M.D, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.M.D, M.D.
- Enumeration Date
- Jun 9, 2010
- Last Updated
- Nov 15, 2022
Practice Location
- Address
- 1502 LOCUST ST N STE 103
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6375
- Phone
- (208) 831-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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