| NPI | 1073939617 |
|---|---|
| Doing Business As | DENTAL SOURCE OF CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | DONALD CLARKE President, Donald E. Clarke, D.D.S. 916-487-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 33738) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |