Individual
DR. CLAYTON ROSELL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2635 GATEWAY RD, SUITE 101, CARLSBAD, CA 92009-1753
(760) 431-8112
Mailing address
868 AUTO CENTER DRIVE, SUITE D, PALMDALE, CA 93550
(661) 945-2616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60432
CA
Other
Enumeration date
09/14/2011
Last updated
01/04/2013
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