Organization · Type 2 NPI

Donald E. Clarke, D.d.s., Inc.

Dental Clinic/Center · Sacramento, CA

NPI number 1992720627 Active

Practice location

1930 9th St Ste 105
Sacramento, CA 95811-7076

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	33738 (CA)

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NPI record

NPI: 1992720627
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Oct 14, 2020
Status: Active

Other names

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Dental Source of California · doing business as
Dental Source of California · doing business as

Authorized official

Dr. Donald Clarke, DDS
President of Corporation
(916) 486-0117

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About NPI 1992720627

Donald E. Clarke, D.d.s., Inc.'s National Provider Identifier is 1992720627, issued on Jul 13, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 14, 2020.