Individual
RILEY DEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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
1223G0001X
General Practice Dentistry
Primary
9053425-8903
UT
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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