Search › Idaho › 1223X0400X
Clark Knowlton, D.D.S
NPI 1386093219 · on the registry since 2016 · sole proprietor
Practice
- Address
- 543 W Gable St
Meridian, ID 83646 - Phone
- (310) 562-8760
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
390200000X - Licence states on file
- NM, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho