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1972772853
DR. ALBERT CLARK DDS, PC
PROVO, UT
NPI
1972772853
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Entity Type
Organization
Authorized Contact
ALBERT BAXTER CLARK
President
801-375-1750
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 139191-9922)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
DR. ALBERT CLARK DDS, PC
1355 N UNIVERSITY AVE SUITE 320
PROVO, UT 84604-2721
Phone number: 801-375-1750
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Mailing Address
DR. ALBERT CLARK DDS, PC
1355 N UNIVERSITY AVE SUITE 320
PROVO, UT 84604-2721
Phone number: 801-375-1750
Copy
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