Individual
DENNIS L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3816 WOODRUFF AVE, SUITE 401, LONG BEACH, CA 90808-2147
(562) 420-8679
Mailing address
3816 WOODRUFF AVE, SUITE 401, LONG BEACH, CA 90808-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G25400
CA
Other
Enumeration date
07/12/2006
Last updated
09/07/2007
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