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. (CORPORATION PRESIDENT)
(916) 487-0117
Entity
Organization
Contact information
Practice address
3901 MARCONI AVE, SACRAMENTO, CA 95821-3902
(916) 487-7995
(916) 487-0243
Mailing address
3901 MARCONI AVE, SACRAMENTO, CA 95821-3902
(916) 487-7995
(916) 487-0243
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33738
CA
Other
Enumeration date
07/10/2006
Last updated
01/04/2010
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