Individual
TONYA ELAINE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1786 BANNON CREEK DR, SACRAMENTO, CA 95833-1518
(916) 952-5620
(916) 283-5622
Mailing address
1786 BANNON CREEK DR, SACRAMENTO, CA 95833-1518
(916) 283-5622
(916) 283-5622
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23
CA
Other
Enumeration date
11/19/2005
Last updated
07/08/2007
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