Individual
DR. BRIDGETE H CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6500 SOQUEL DRIVE, APTOS, CA 95003
(831) 479-6472
(831) 477-5687
Mailing address
PO BOX 1406, CASTROVILLE, CA 95012-1406
(831) 479-6472
(831) 477-5687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42987
CA
122300000X
Dentist
4771-15
WI
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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