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Organization
DONALD E. CLARKE, D.D.S., INC.
Active
Organization
DONALD E. CLARKE, D.D.S., INC.
Active
Other names
Dental Source of California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CLARKE D.D.S. (PRESIDENT, DONALD E. CLARKE, D.D.S.)
(916) 487-0117
Entity
Organization
Contact information
Practice address
7616 PACIFIC AVE, STOCKTON, CA 95207-1952
(209) 952-1641
(209) 952-2856
Mailing address
7616 PACIFIC AVE, STOCKTON, CA 95207-1952
(209) 952-1641
(209) 952-2856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33738
CA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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