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Dr. Sacha Dariana Clark, DDS
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1881258945

Sacha Dariana Clark is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Sacha Dariana Clark practices in Warren, MI and has the professional credentials of DDS. The NPI Number for Sacha Dariana Clark is 1881258945 and holds a License No. (Michigan).

The current practice location address for Sacha Dariana Clark is 11900 E 12 Mile Rd Ste 210, Warren, MI and can be reached out via phone at 586-582-7102.

Location: 11900 E 12 Mile Rd Ste 210, Warren, MI, 48093-3490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881258945
Provider Name
Sacha Dariana Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11900 E 12 Mile Rd Ste 210, Warren, MI, 48093-3490
Phone Number
586-582-7102
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11900 E 12 Mile Rd Ste 210
City
Warren
State
Michigan
Zip
48093-3490
Phone Number
586-582-7102
Fax Number
person
Provider Business Mailing Address Details
Address
11900 E 12 Mile Rd Ste 210
City
Warren
State
Michigan
Zip
48093-3490
Phone Number
586-582-7102
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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