| Dr Herald R Clark | |
|
2036 S 1300 E Suite B Salt Lake City UT 84105-3601 | |
| (801) 486-9434 | |
| (801) 426-9444 |
| Full Name | Dr Herald R Clark |
|---|---|
| Speciality | Dentist |
| Location | 2036 S 1300 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Herald R Clark (DENTIST) |
| Authorized Official Contact | 8014869434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Herald R Clark 2036 S 1300 E Suite B Salt Lake City UT 84105-3601 Ph: (801) 486-9434 | Dr Herald R Clark 2036 S 1300 E Suite B Salt Lake City UT 84105-3601 Ph: (801) 486-9434 |
| NPI Number | 1306061270 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306061270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Utah) | Primary |
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