Individual
DR. WILLIAM JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
39247
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39247
CA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
39247
CA
Other
Enumeration date
10/04/2006
Last updated
04/14/2011
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