Individual
DR. SACHA DARIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD DDS
Contact information
Practice address
7322 E 91ST ST, TULSA, OK 74133-6016
(918) 392-0880
Mailing address
7322 E 91ST ST, TULSA, OK 74133-6016
(918) 392-0880
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
25500
OK
208600000X
Surgery Physician
45263
OK
Other
Enumeration date
04/24/2019
Last updated
07/28/2025
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