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1477571677
ALBERT BAXTER CLARK
PROVO, UT
NPI
1477571677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 139191-9922)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Dr. ALBERT BAXTER CLARK D.D.S.
1355 N UNIVERSITY AVE SUITE 320
PROVO, UT 84604-2721
Phone number: 801-375-1750
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Mailing Address
Dr. ALBERT BAXTER CLARK D.D.S.
1355 N UNIVERSITY AVE SUITE 320
PROVO, UT 84604-2721
Phone number: 801-375-1750
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