Individual
WILLIAM CLARK ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E FOREST ST, SUITE C, BRIGHAM CITY, UT 84302-2127
(435) 723-3272
(435) 734-9339
Mailing address
111 E FOREST ST, SUITE C, BRIGHAM CITY, UT 84302-2127
(435) 723-3272
(435) 734-9339
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
144759-9921
UT
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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