Individual
DR. KYLE WARNER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1008 RUSHLEIGH RD, CLEVELAND HEIGHTS, OH 44121-1415
(801) 722-4847
Mailing address
1008 RUSHLEIGH RD, CLEVELAND HEIGHTS, OH 44121-1415
(801) 722-4847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7023394-8903
UT
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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