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Dr. Michael Kenneth Clark, DDS
Oral and Maxillofacial Surgery (Dentist) in Mission Viejo, California
NPI 1619316403

Michael Kenneth Clark is a Oral and Maxillofacial Surgery (Dentist) based in Mission Viejo, CA and is specialized in Oral and Maxillofacial Surgery. Michael Kenneth Clark practices in Mission Viejo, CA and has the professional credentials of DDS. The NPI Number for Michael Kenneth Clark is 1619316403 and holds a License No. 41907 (California).

The current practice location address for Michael Kenneth Clark is 27725 Santa Margarita Pkwy, Mission Viejo, CA and can be reached out via phone at 949-470-3672 and via fax at 949-472-2095.

Location: 27725 Santa Margarita Pkwy, Mission Viejo, CA, 92691-6704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619316403
Provider Name
Michael Kenneth Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
27725 Santa Margarita Pkwy, Mission Viejo, CA, 92691-6704
Phone Number
949-470-3672
Fax Number
949-472-2095
Provider Enumeration Date
06/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27725 Santa Margarita Pkwy
City
Mission Viejo
State
California
Zip
92691-6704
Phone Number
949-470-3672
Fax Number
949-472-2095
person
Provider Business Mailing Address Details
Address
27725 Santa Margarita Pkwy
City
Mission Viejo
State
California
Zip
92691-6704
Phone Number
949-470-3672
Fax Number
949-472-2095
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
41907 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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