Individual
MR. CLARK ANDREW MARTIN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
435 N BEDFORD DR, STE 215, BEVERLY HILLS, CA 90210
(310) 278-5403
(310) 278-0850
Mailing address
435 N BEDFORD DR, STE 215, BEVERLY HILLS, CA 90210
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
29362
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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