Clark, Michael Kenneth
Clark, Michael Kenneth is an individual health care provider with primary practice located at 27725 Santa Margarita Pkwy Suite 130, Mission Viejo CA 92691-6704. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, Michael Kenneth can be contacted via phone (949) 470-3672.Contact Information
Primary practice address
27725 Santa Margarita Pkwy Suite 130
Mission Viejo CA 92691-6704
Phone: (949) 470-3672
Fax: (949) 472-2095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 41907 | California |
Profile Details
| NPI number | 1619316403 |
|---|---|
| LBN Legal business name | Clark, Michael Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2013 |
| Last updated | Jun 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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