Individual provider · Type 1 NPI
Michael Reed Clark, D.D.S
Periodontics · Vacaville, CA
NPI number
1689870123
Active
Practice location
290 Alamo Dr, C-2
Vacaville, CA 95688-4245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 3019CA (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Vacaville
About NPI 1689870123
Michael Reed Clark, D.D.S's National Provider Identifier is 1689870123, issued on Jun 22, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Vacaville, CA. The record was last updated on Jul 9, 2007.