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Contact Information

STEPHEN W CLARK, DDS
5963 E SPRING ST
LONG BEACH, CA90808-3752
 Phone: 562-421-8401
 Fax: 562-421-0523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for STEPHEN W CLARK · (Male)

NPI # 1447311725
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 09/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20995
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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