Individual
ADAM GEORGE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1747 HERITAGE LN STE A1, SYRACUSE, UT 84075-8531
(801) 525-1415
Mailing address
1115 KINGS CT, KAYSVILLE, UT 84037-9549
(435) 757-3933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11332945
UT
Other
Enumeration date
07/20/2011
Last updated
12/22/2022
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