Individual
DR. DAVID MATTHEW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2180 E 4500 S, SUITE 250, HOLLADAY, UT 84117-4434
(801) 272-8609
Mailing address
2180 E 4500 S, SUITE 250, HOLLADAY, UT 84117-4434
(801) 272-8609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5606768-9922
UT
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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