Organization
WHITECAP DENTAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL K CLARK DMD (OWNER)
(435) 248-4007
Entity
Organization
Contact information
Practice address
380 E 1500 S STE 205, HEBER CITY, UT 84032-3942
(435) 248-4007
Mailing address
380 E 1500 S, STE 205, HEBER CITY, UT 84032
(435) 248-4007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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