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
3485 W SHAW AVE, SUITE #104, FRESNO, CA 93711-3212
(559) 276-7995
(559) 276-7997
Mailing address
3485 W SHAW AVE, SUITE #104, FRESNO, CA 93711-3212
(559) 276-7995
(559) 276-7997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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