Individual
DR. PAUL K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
380 E 1500 S, SUITE 205, HEBER CITY, UT 84032-3940
(435) 657-2105
(801) 665-1414
Mailing address
380 E 1500 S, SUITE 205, HEBER CITY, UT 84032-3940
(435) 657-2105
(801) 665-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6255201-9922
UT
Other
Enumeration date
03/29/2006
Last updated
01/23/2009
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