Clark Dental Group Pllc

NPI #1669005955 in Sandy, Utah

Provider Information

NPI Number: 1669005955
Entity Type: Organization
Organization Name: Clark Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 15, 2020
Last Updated: Feb 15, 2020

Practice Location

Address: 9844 S 1300 E STE 360
City: Sandy
State: Utah
ZIP Code: 84094-4698
Phone: (801) 571-6999

Authorized Official

Name: DR. TANNER M CLARK, DMD
Title: DENTIST/OWNER
Phone: (208) 317-8555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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