Individual
DR. CLARK KEITH TAYLOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
535 MEDICAL DR, BOUNTIFUL, UT 84010-4929
(801) 292-2828
Mailing address
535 MEDICAL DR, BOUNTIFUL, UT 84010-4929
(801) 292-2828
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11488542-9923
UT
Other
Enumeration date
05/14/2019
Last updated
11/17/2021
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