Individual
DR. WALKER DEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3900
Mailing address
292 CONSTITUTION WAY, NORTH SALT LAKE, UT 84054-1608
(801) 708-1704
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10403365-9922
UT
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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