Clark A Izu Dds Inc in Irvine - Endodontics

Clark A Izu Dds Inc - NPI 1578577862

Clark A Izu Dds Inc is a Endodontics in Irvine, California. Clark A Izu Dds Inc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Clark A Izu Dds Inc is 1578577862. The last update date is 2012-04-04.

Clark A Izu Dds Inc's current location address is 20 Maryland, Irvine, California. You can contact this provider via phone number 9496538204. The mailing address for Clark A Izu Dds Inc is 20 Maryland, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clark A Izu Dds Inc
Address 20 Maryland, Irvine, California
Phone Number 9496538204
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DDS PRESID
Authorized Official Name Izu A Clark
Credentials DDS
Telephone Number 5625447033

NPI Number Detail

NPI Number 1578577862
Provider Enumeration Date 2006-07-29
Last Updated Date 2012-04-04

Provider Mailing Address Detail

Address 20 Maryland
City Irvine
State California (CA)
Post Code 926061739
Phone Number 9496538204
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 42920
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Clark A Izu Dds Inc

What is the unique 10-digit identification code issued to Clark A Izu Dds Inc by the Centers for Medicare & Medicaid Services?

The Clark A Izu Dds Inc has been assigned the NPI (National Provider Identifier) 1578577862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Clark A Izu Dds Inc's facilities are geographically located?

The facilities of Clark A Izu Dds Inc are physically situated at the following location: 20 Maryland, Irvine, CA, 926061739.

What is Clark A Izu Dds Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Clark A Izu Dds Inc is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578577862 to Clark A Izu Dds Inc?

The Centers for Medicare & Medicaid Services originally issued the 1578577862 to Clark A Izu Dds Inc on 2006-07-29.

As of what date was the information pertaining to Clark A Izu Dds Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Clark A Izu Dds Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-04.

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