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
Phone: (801) 272-8609
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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