NPI 1003977620
Rdean Clark
Practice location
- Address
- 575 East University Parkway Suite A24, Orem, UT 84058
- Phone
- (801) 225-3300
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1003977620
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Dec 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.