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. (PRESIDENT OF CORPORATION)
(916) 486-0117
Entity
Organization
Contact information
Practice address
1930 9TH ST STE 105, SACRAMENTO, CA 95811-7076
(916) 393-7336
Mailing address
1930 9TH ST STE 105, SACRAMENTO, CA 95811-7076
(916) 393-7336
(916) 393-6493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33738
CA
Other
Enumeration date
07/13/2006
Last updated
10/14/2020
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