Kellan Clark
Kellan Clark is a Dentist in West Valley City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
2792 S 5600 WWest Valley City, UT 84120-5590
Phone: (801) 204-9889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 11782184-9922 (UT) |
|---|
Record details
| NPI number | 1366050296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2020 |
| Last updated in NPPES | July 16, 2020 |
| Certification date | July 16, 2020 |
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