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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