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Organization
DONALD E. CLARKE, DDS, INC.
Active
Organization
DONALD E. CLARKE, DDS, INC.
Active
Other names
Dental Source of California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD E CLARKE DDS (CORPORATION PRESIDENT)
(916) 487-0117
Entity
Organization
Contact information
Practice address
930 FLORIN RD STE 104, SACRAMENTO, CA 95831-5002
(916) 421-2424
Mailing address
930 FLORIN RD STE 104, SACRAMENTO, CA 95831-5002
(916) 421-2424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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