Herald R. Clark, Dds

NPI 1487086617 - Dentist - 122300000X

NPI Details
NPI 1487086617
Enumeration Date 07/30/2013
Last Updated 07/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name HERALD R. HERALD
Position DENTIST / OWNER
Phone (801) 486-9434
Fax (801) 486-9434
Practice Location
3643 S. HIGHLAND DRIVE
SALT LAKE CITY UT, 84106, US
Phone (801) 486-9434
Fax (801) 486-9434
Business Location
3643 S. HIGHLAND DRIVE
SALT LAKE CITY UT, 84106, US
Phone (801) 486-9434
Fax (801) 486-9444
Toxanomy
Taxonomy Code 122300000X
License State Utah
License Number 143406
Remove 1487086617 NPI Number
 

According to our database, Herald R. Clark, Dds NPI is 1487086617, taxonomy code is 122300000X and license number is 143406, license state is located at Utah. Herald R. Clark, Dds physically located at 3643 S. Highland Drive, Salt Lake City UT, 84106. NPI Number 1033115704 has the healthcare provider type.

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1487086617 NPI number is provided on an as is basis without warranty of any kind. 1487086617 is maintained by the National Plan & Provider Enumeration System. The contents of Herald R. Clark, Dds are for informational purposes only.