| 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 |