Individual
DR. BRIAN ROBERT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
228 W 200 S STE 1A, KAMAS, UT 84036-9010
(435) 783-2273
(435) 783-4357
Mailing address
228 W 200 S STE 1A, KAMAS, UT 84036-9010
(435) 783-2273
(435) 783-4357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10974038
UT
Other
Enumeration date
12/28/2006
Last updated
03/04/2024
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