Michael Clark, D.D.S

NPI 1689870123 · on the registry since 2007 · sole proprietor

Practice

Address: 290 Alamo Dr
C-2
Vacaville, CA 95688
Phone: (707) 447-2986
Organisation at this address: Gianna C Lum Dds Inc
Joseph J Abrew Dds Inc
Lawrence E. Roth, Dds, Msd, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

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