| Adam T Clark Dds Dental Corporation | |
|
26671 Aliso Creek Rd Suite 300 Aliso Viejo CA 92656-4809 | |
| (949) 202-4480 | |
| Not Available |
| Full Name | Adam T Clark Dds Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 26671 Aliso Creek Rd, Aliso Viejo, California |
| Authorized Official Name and Position | Adam Clark (OWNER) |
| Authorized Official Contact | 9492024420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adam T Clark Dds Dental Corporation 26671 Aliso Creek Rd Suite 300 Aliso Viejo CA 92656-4809 Ph: (949) 202-4420 | Adam T Clark Dds Dental Corporation 26671 Aliso Creek Rd Suite 300 Aliso Viejo CA 92656-4809 Ph: (949) 202-4480 |
| NPI Number | 1760785422 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760785422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 55257 (California) | Primary |
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