Dr. Albert Clark Dds, PC

NPI #1972772853 in Provo, Utah

Provider Information

NPI Number: 1972772853
Entity Type: Organization
Organization Name: Dr. Albert Clark Dds, PC
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 1355 N UNIVERSITY AVE
Address 2: SUITE 320
City: Provo
State: Utah
ZIP Code: 84604-2721
Phone: (801) 375-1750

Authorized Official

Name: DR. ALBERT BAXTER CLARK, DDS
Title: PRESIDENT
Phone: (801) 375-1750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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