# CLARK A IZU DDS INC

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

## Provider details

- **NPI number:** 1578577862
- **Authorized official:** DR. CLARK A IZU DDS (DDS PRESIDENT)
- **Authorized official phone:** (562) 544-7033

## Contact information

- **Practice address:** 20 MARYLAND, IRVINE, CA 92606-1739
- **Practice address phone:** (949) 653-8204
- **Mailing address:** 20 MARYLAND, IRVINE, CA 92606-1739
- **Mailing address phone:** (949) 653-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 42920 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 04/04/2012