Organization
CLIFFORD D DAINES D D S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD D DAINES D D S (GENERAL DENTIST)
(801) 621-8440
Entity
Organization
Contact information
Practice address
5974 FASHION POINT DR, SUITE 230, SOUTH OGDEN, UT 84403-4699
(801) 621-8440
(801) 627-9063
Mailing address
5974 FASHION POINT DR, SUITE 230, SOUTH OGDEN, UT 84403-4699
(801) 621-8440
(801) 627-9063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143593-9922
UT
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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