NPI | 1124240023 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D. CLARK President 949-830-4101 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 26364) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2012-05-21 |