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Individual

DR. SAMUEL LUKE CLYDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
143 E 200 S, SPRINGVILLE, UT 84663-1915
(801) 489-4541
Mailing address
100 S GENEVA RD UNIT C201, VINEYARD, UT 84058-5388
(907) 982-5792

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10832862-9922
UT

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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