Organization
HERALD R. CLARK, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERALD R. CLARK II DDS (DENTIST / OWNER)
(801) 486-9434
Entity
Organization
Contact information
Practice address
3643 S. HIGHLAND DRIVE, SALT LAKE CITY, UT 84106
(801) 486-9434
(801) 486-9434
Mailing address
3643 S. HIGHLAND DRIVE, SALT LAKE CITY, UT 84106
(801) 486-9434
(801) 486-9444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
143406
UT
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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