| NPI | 1275737405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B CLARK President 949-494-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32453) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |