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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. (CORPOATION PRESIDENT)
(916) 487-0117
Entity
Organization
Contact information
Practice address
2200 PROFESSIONAL DR, SUITE 210, ROSEVILLE, CA 95661-7763
(916) 786-6157
(916) 786-0783
Mailing address
2200 PROFESSIONAL DR, SUITE 210, ROSEVILLE, CA 95661-7763
(916) 786-6157
(916) 786-0783
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33738
CA
Other
Enumeration date
08/24/2006
Last updated
01/04/2010
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