Individual
DR. CLIFF A DOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3300 RUNNING CREEK WAY, BUILDING I, LEHI, UT 84043-5563
(801) 768-0404
(801) 766-0550
Mailing address
3300 RUNNING CREEK WAY, BUILDING I, LEHI, UT 84043-5563
(801) 768-0404
(801) 766-0550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5642987
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272276391
TAX ID#
UT
Enumeration date
07/03/2006
Last updated
04/14/2010
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