Clark Dental a Professional Dental Corporation
NPI #1508136748 in El Dorado Hills, California
Provider Information
- NPI Number
- 1508136748
- Entity Type
- Organization
- Organization Name
- Clark Dental a Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 5, 2012
- Last Updated
- Jan 5, 2012
Practice Location
- Address
- 4420 TOWN CENTER BLVD
- Address 2
- 280
- City
- El Dorado Hills
- State
- California
- ZIP Code
- 95762-7134
- Phone
- (916) 251-6810
Authorized Official
- Name
- DR. REUBEN J CLARK, DDS
- Title
- CEO
- Phone
- (916) 251-6810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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