| Stephanie Clark, DDS | |
|
5464 South St, Ste A, Lakewood, CA 90712 | |
| (253) 279-3647 | |
| Not Available |
| Full Name | Stephanie Clark |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 5464 South St, Lakewood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336792233 | NPI | - | NPPES |
| 104042 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 104042 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Clark, DDS 404 E 1st St # 197, Long Beach, CA 90802-4903 Ph: () - | Stephanie Clark, DDS 5464 South St, Ste A, Lakewood, CA 90712 Ph: (253) 279-3647 |
Dr. Donald Luong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4180 Woodruff Ave, Lakewood, CA 90713 Phone: 562-938-9514 Fax: 562-938-9045 | |
Maria Carolina De Leon Regalado, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21010 Pioneer Blvd, Lakewood, CA 90715 Phone: 562-402-9196 Fax: 562-402-9186 | |
Dr. Alexander Burns, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4128 Paramont Blvd, Lakewood, CA 90712 Phone: 562-425-6463 Fax: 562-427-4044 | |
Armin Koleti, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5129 Candlewood St, Lakewood, CA 90712 Phone: 562-867-0027 | |
Dr. Milagrosa Maria Hernandez-cabanban, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5911 South St, Lakewood, CA 90713 Phone: 562-461-2991 Fax: 562-461-2981 | |
Dr. Khai Hung Tran, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5697 Woodruff Ave, Lakewood, CA 90713 Phone: 562-920-8880 | |
Ross Day, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5819 Adenmoor Ave, Lakewood, CA 90713 Phone: 562-804-2296 |