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Organization

DR HERALD R CLARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERALD R CLARK DDS PC (DENTIST)
(801) 486-9434
Entity
Organization

Contact information

Practice address
2036 S 1300 E, SUITE B, SALT LAKE CITY, UT 84105-3601
(801) 486-9434
(801) 426-9444
Mailing address
2036 S 1300 E, SUITE B, SALT LAKE CITY, UT 84105-3601
(801) 486-9434
(801) 426-9444

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
UT

Other

Enumeration date
04/16/2007
Last updated
07/16/2013
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