Clark Dentistry, Professional Corporation
NPI #1275737405 in Laguna Beach, California
Provider Information
- NPI Number
- 1275737405
- Entity Type
- Organization
- Organization Name
- Clark Dentistry, Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 330 PARK AVE
- Address 2
- #10
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-2352
- Phone
- (949) 494-1445
Authorized Official
- Name
- DR. WILLIAM B CLARK, DDS
- Title
- PRESIDENT
- Phone
- (949) 494-1445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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