Izu, Clark

Izu, Clark is an sole proprietor health care provider with primary practice located at 20 Maryland , Irvine CA 92606-1739. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Izu, Clark can be contacted via phone (562) 544-7033.

Contact Information

Primary practice address
20 Maryland Irvine CA 92606-1739
Phone: (562) 544-7033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 42920 California

Profile Details

NPI number 1114283033
LBN Legal business name Izu, Clark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 12 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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