Clark, Stephen W

Clark, Stephen W is an individual health care provider with primary practice located at 5963 E Spring St , Long Beach CA 90808-3752. He recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Clark, Stephen W can be contacted via phone (562) 421-8401.

Contact Information

Primary practice address
5963 E Spring St Long Beach CA 90808-3752
Phone: (562) 421-8401
Fax: (562) 421-0523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 20995 California
Dental Providers / Periodontics 1223P0300X 20995 California
Dental Providers / General Practice 1223G0001X 20995 California

Profile Details

NPI number 1447311725
LBN Legal business name Clark, Stephen W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Sep 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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