Clark, Taylor Coleman
Clark, Taylor Coleman is an individual health care provider with primary practice located at 6019 N Eagle Rd , Boise ID 83713. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, Taylor Coleman can be contacted via phone (208) 938-8228.Contact Information
Primary practice address
6019 N Eagle Rd
Boise ID 83713
Phone: (208) 938-8228
Fax: (208) 938-2442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D3624 | Idaho |
Profile Details
| NPI number | 1780635037 |
|---|---|
| LBN Legal business name | Clark, Taylor Coleman |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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