| Clark a Izu DDS Inc | |
|
20 Maryland Irvine CA 92606-1739 | |
| (949) 653-8204 | |
| Not Available |
| Full Name | Clark a Izu DDS Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 20 Maryland, Irvine, California |
| Authorized Official Name and Position | Clark a Izu (DDS PRESIDENT) |
| Authorized Official Contact | 5625447033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark a Izu DDS Inc 20 Maryland Irvine CA 92606-1739 Ph: (949) 653-8204 | Clark a Izu DDS Inc 20 Maryland Irvine CA 92606-1739 Ph: (949) 653-8204 |
| NPI Number | 1578577862 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578577862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 42920 (California) | Primary |
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