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Contact Information

CLARK A IZU DDS INC
20 MARYLAND
IRVINE, CA92606-1739
 Phone: 949-653-8204
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CLARK A IZU DDS INC · (Female)

NPI Number 1578577862
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2006
Last updated 04/04/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 42920
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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