# COLE AND CLARK DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255520235
- **Authorized official:** DR. WILLIAM JAMES CLARK DDS, MD (OWNER)
- **Authorized official phone:** (805) 983-3131

## Contact information

- **Practice address:** 1801 SOLAR DR, \#100, OXNARD, CA 93030-8234
- **Practice address phone:** (805) 983-3131
- **Practice address fax:** (805) 983-3000
- **Mailing address:** 1801 SOLAR DR, \#100, OXNARD, CA 93030-8234
- **Mailing address phone:** (805) 983-3131
- **Mailing address fax:** (805) 983-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 39247 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 39247 | CA | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 39247 | CA | — |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 04/11/2013