DR. GLEN CLARK, DDS
Dentist
Active
Individual
NPI: 1740339233
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Pathology | 1223P0106X | No | 24282 (CA) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | 24282 (CA) |
| Dentist | 122300000X | Yes | 24282 (CA) |
Frequently Asked Questions
NPI 1740339233 is the National Provider Identifier for DR. GLEN CLARK, DDS, a Dentist provider located in Los Angeles, CA. This NPI was enumerated on January 10, 2007.
DR. GLEN CLARK, DDS practices at 925 W 34TH ST, ROOM #151, Los Angeles, CA 90089.
Quick Facts
- NPI
- 1740339233
- Type
- Individual
- Enumerated
- Jan 10, 2007
- Last Updated
- Dec 5, 2011
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