Individual provider · Type 1 NPI
Rdean Clark
Orthodontics and Dentofacial Orthopedics Dentistry · Orem, UT
Practice location
575 East University Parkway, Suite A24
Orem, UT 84058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | Y76242 (UT) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1003977620
Rdean Clark's National Provider Identifier is 1003977620, issued on Dec 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Orem, UT. The record was last updated on Jul 8, 2007.