Rdean Clark

NPI #1003977620 in Orem, Utah

Provider Information

NPI Number: 1003977620
Entity Type: Individual
Name: Rdean Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 575 EAST UNIVERSITY PARKWAY
Address 2: SUITE A24
City: Orem
State: Utah
ZIP Code: 84058
Phone: (801) 225-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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