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Organization
CR CLARK DENTAL, INC.
Active
Organization
CR CLARK DENTAL, INC.
Active
Other names
Lost Canyon Family Dental, Soledad Canyon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON R CLARK DDS (OWNER)
(661) 250-3600
Entity
Organization
Contact information
Practice address
17909 SOLEDAD CANYON RD STE 160, SANTA CLARITA, CA 91387-3210
(661) 250-3600
Mailing address
17909 SOLEDAD CANYON RD STE 160, SANTA CLARITA, CA 91387-3210
(661) 250-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
11/14/2024
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