Larry Clark
General Dentistry · Boscobel, WI
UnclaimedNPI 1174945919
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2014-01-14
- Practice location
- Boscobel, WI
- Last NPPES update
- 2014-01-14
State licenses
- WI · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.