Individual
DR. CLARK J A CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1435 S 1350 E, CLEARFIELD, UT 84015-1300
(801) 825-9818
(801) 825-1877
Mailing address
1435 S 1350 E, CLEARFIELD, UT 84015-1300
(801) 825-9818
(801) 825-1877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
122411249923
UT
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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