Individual
CLARK KAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2642 SOMERSVILLE RD # B, ANTIOCH, CA 94509-4428
(925) 778-4600
(925) 778-8705
Mailing address
2642 SOMERSVILLE RD # B, ANTIOCH, CA 94509-4428
(925) 778-4600
(925) 778-8705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107018
CA
Other
Enumeration date
09/27/2021
Last updated
08/10/2022
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