| Dr Brent Wayne Clark, DMD | |
|
390 North Loop Rd., Fort Irwin, CA 92310 | |
| (760) 383-5289 | |
| Not Available |
| Full Name | Dr Brent Wayne Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 390 North Loop Rd., Fort Irwin, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174636419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7735 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Wayne Clark, DMD 3935 Bitter Springs Dr, Fort Irwin, CA 92310-1598 Ph: (816) 838-5663 | Dr Brent Wayne Clark, DMD 390 North Loop Rd., Fort Irwin, CA 92310 Ph: (760) 383-5289 |
Dr. Stephanie Chung Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Road, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Ryan Steven Payne, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 Fax: 706-787-2082 | |
Dr. Joshua Hyungkyu Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4th And Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 Phone: 719-526-5537 | |
Dr. Yong Soo Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dustin Tyler Nygard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg, 390 N Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3166 | |
Dr. Sergio Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Inner Loop Rd, Fort Irwin, CA 92310 Phone: 760-380-3173 |