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Organization
STEPHEN W. CLARK, DDS INC.
Active
Organization
STEPHEN W. CLARK, DDS INC.
Active
Other names
Spring Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W CLARK D.D.S. (PRESIDENT)
(562) 421-8401
Entity
Organization
Contact information
Practice address
5963 E SPRING ST, LONG BEACH, CA 90808-3752
(562) 421-8401
(562) 421-0523
Mailing address
5963 E SPRING ST, LONG BEACH, CA 90808-3752
(562) 421-8401
(562) 421-0523
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
CA
1223G0001X
General Practice Dentistry
Primary
—
CA
1223P0300X
Periodontics
—
CA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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