DR. DORRANCE CLARK, DDS, MSD
Dentist - Periodontics
Active
Individual
NPI: 1104907617
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 2901018485 (MI) |
Frequently Asked Questions
NPI 1104907617 is the National Provider Identifier for DR. DORRANCE CLARK, DDS, MSD, a Dentist - Periodontics provider located in Warren, MI. This NPI was enumerated on October 18, 2006.
DR. DORRANCE CLARK, DDS, MSD practices at 2425 E 12 MILE RD, Warren, MI 48092.
Quick Facts
- NPI
- 1104907617
- Type
- Individual
- Enumerated
- Oct 18, 2006
- Last Updated
- Dec 18, 2025
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