Clark, David Matthew

Clark, David Matthew is an individual health care provider with primary practice located at 2180 E 4500 S Suite 250, Holladay UT 84117-4434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clark, David Matthew can be contacted via phone (801) 272-8609.

Contact Information

Primary practice address
2180 E 4500 S Suite 250 Holladay UT 84117-4434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5606768-9922 Utah

Profile Details

NPI number 1902193253
LBN Legal business name Clark, David Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Jul 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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