Clark, Roberta

Clark, Roberta is an sole proprietor health care provider with primary practice located at 8403 Christopher Ridge Ter , San Diego CA 92127-6143. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Roberta can be contacted via phone (858) 367-8320.

Contact Information

Primary practice address
8403 Christopher Ridge Ter San Diego CA 92127-6143
Phone: (858) 367-8320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH 15432 California
Dental Providers / Dental Hygienist 124Q00000X RDHAP 522 California

Profile Details

NPI number 1801285580
LBN Legal business name Clark, Roberta
Credentials RDHAP, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2015
Last updated May 31st, 2015 - 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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