Reuben Justus Clark DDS

NPI 1013177062 - Dentist - 1223G0001X

NPI Details
NPI 1013177062
Gender Male
Enumeration Date 06/12/2008
Last Updated 01/05/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
730 HOWE AVE
SUITE 200
SACRAMENTO CA, 95825-4616, US
Phone (916) 567-9707
Fax
Business Location
4420 TOWN CENTER BLVD
280
EL DORADO HILLS CA, 95762-7134, US
Phone (916) 251-6810
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 57075
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According to our database, Dr. Reuben Justus Clark DDS NPI is 1013177062, taxonomy code is 1223G0001X and license number is 57075, license state is located at California. Reuben Justus Clark DDS physically located at 730 Howe Ave, Sacramento CA, 95825-4616. NPI Number Reuben Justus Clark DDS has the Individual type.

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1013177062 NPI number is provided on an as is basis without warranty of any kind. 1013177062 is maintained by the National Plan & Provider Enumeration System. The contents of Reuben Justus Clark DDS are for informational purposes only.