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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