Vivian L Clark in San Diego - Dental Hygienist
Vivian L Clark - NPI 1134194582
Vivian L Clark is a Dental Hygienist in San Diego, California. Vivian L Clark practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Vivian L Clark is 1134194582. The last update date is 2007-07-08.
Vivian L Clark's current location address is Bdc North Island, San Diego, California. You can contact this provider via phone number 6195456398. The mailing address for Vivian L Clark is Bdc North Island, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian L Clark |
|---|---|
| Address | Bdc North Island, San Diego, California |
| Phone Number | 6195456398 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1134194582 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Bdc North Island |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921357037 |
| Phone Number | 6195456398 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 9175 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Post Comment/ Review Below
What is the unique identifier code issued to Vivian L Clark by the Centers for Medicare & Medicaid Services?
The Vivian L Clark has been assigned the NPI (National Provider Identifier) 1134194582. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Vivian L Clark?
The Vivian L Clark is situated at Bdc North Island, in the city of San Diego, state of CA, with the zip code 921357037.
What is Vivian L Clark's area of expertise and its corresponding taxonomy classification?
The Vivian L Clark's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134194582 to Vivian L Clark?
The Centers for Medicare & Medicaid Services originally issued the 1134194582 to Vivian L Clark on 2006-02-21.
As of what date were the Vivian L Clark's details last updated?
The information pertaining to the Vivian L Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.