| NPI | 1508136748 |
|---|---|
| Doing Business As | CLARK DENTAL GENERAL AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | REUBEN J CLARK CEO 916-251-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57075) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |