DR. Sacha Dariana Clark, DDS is a student in an organized health care education training program in Warren, MI. The provider is 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. DR. Sacha Dariana Clark, DDS NPI is 1881258945. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11900 E 12 MILE RD STE 210
WARREN, MI
ZIP 48093-490
Phone: (586) 582-7102
The NPI 1881258945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.