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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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