DR. STAN CLARK, D.M.D
Dentist - General Practice
Active
Individual
NPI: 1629021969
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5428628-9921 (UT) |
Frequently Asked Questions
NPI 1629021969 is the National Provider Identifier for DR. STAN CLARK, D.M.D, a Dentist - General Practice provider located in Salt Lake City, UT. This NPI was enumerated on May 18, 2006.
DR. STAN CLARK, D.M.D practices at 160 S 1000 E, SUITE 340, Salt Lake City, UT 84102.
Quick Facts
- NPI
- 1629021969
- Type
- Individual
- Enumerated
- May 18, 2006
- Last Updated
- Feb 27, 2008
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