VIVIAN L CLARK

SAN DIEGO, CA
NPI1134194582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CA  9175)
Enumeration Date2006-02-21
Last Update Date2007-07-08
Business Address
Ms. VIVIAN L CLARK RDH
BDC NORTH ISLAND BOX 357037
SAN DIEGO, CA 92135-7037
Phone number: 619-545-6398
Mailing Address
Ms. VIVIAN L CLARK RDH
795 RIVER ROCK RD
CHULA VISTA, CA 91914-2431
Phone number: 619-397-5705