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1619316403
MICHAEL KENNETH CLARK
MISSION VIEJO, CA
NPI
1619316403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 41907)
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
Dr. MICHAEL KENNETH CLARK DDS
27725 SANTA MARGARITA PKWY SUITE 130
MISSION VIEJO, CA 92691-6704
Phone number: 949-470-3672
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Mailing Address
Dr. MICHAEL KENNETH CLARK DDS
27725 SANTA MARGARITA PKWY SUITE 130
MISSION VIEJO, CA 92691-6704
Phone number: 949-470-3672
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