Organization
WHITECAP INSTITIUTE
Active
Organization
WHITECAP INSTITIUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RILEY DEAN CLARK DMD (DENTIST)
(435) 657-1205
Entity
Organization
Contact information
Practice address
380 E 1500 S STE 205, HEBER CITY, UT 84032-3942
(435) 657-2105
(435) 709-3079
Mailing address
380 E 1500 S STE 205, HEBER CITY, UT 84032-3942
(435) 657-2105
(435) 709-3079
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
9053425-8903
UT
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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