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Organization

JAMES D. CLARK, DDS, APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D. CLARK D.D.S. (PRESIDENT)
(949) 830-4101
Entity
Organization

Contact information

Practice address
26302 LA PAZ RD, 202, MISSION VIEJO, CA 92691-5313
(949) 830-4101
Mailing address
26302 LA PAZ RD, SUITE 202, MISSION VIEJO, CA 92691-5313
(949) 830-4101
(949) 830-0741

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26364
CA

Other

Enumeration date
05/02/2007
Last updated
05/21/2012
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