Individual
CLIFFORD DONALD DAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D D S
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
143596-9922
UT
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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