Individual
DR. MICHAEL REED CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
290 ALAMO DR, C-2, VACAVILLE, CA 95688-4245
(707) 447-2986
Mailing address
290 ALAMO DR, C-2, VACAVILLE, CA 95688-4245
(707) 447-2986
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3019CA
CA
Other
Enumeration date
06/22/2007
Last updated
07/09/2007
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