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Vivian Clark, RDH

NPI 1134194582 · on the registry since 2006

Practice

Address
Bdc North Island
Box 357037
San Diego, CA 92135
Phone
(619) 545-6398

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California