Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN THOMAS CLARK, DDS
ActiveDR. GLEN THOMAS CLARK, DDS is a Dentist healthcare provider located in LOS ANGELES, California. NPI 1740339233 is currently active in the NPPES registry. Verify at CMS.
Dentist · LOS ANGELES, CA
Registration Details
- NPI Number
- 1740339233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.585465011346 yrs)
- Last Updated
- Dec 5, 2011
- Licenses
-
24282 (CA)24282 (CA)24282 (CA)
Practice Information
- Address
-
925 W 34TH STROOM #151LOS ANGELES, CA, 900890641Browse CA providers · Browse ZIP 90089
- Phone
- 2137407405
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Dentist
Other Dentist Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MUNEKUNI OKAMOTO | D.D.S. | 1811999519 |
| DR. JOSEPH S. YOON | D.D.S. | 1023010766 |
| DR. YUN S. LEE | D.D.S. | 1003818782 |
| DR. BEOM MO LEE | DDS | 1235122243 |
| FRANCISCO GARCIA-GUZMAN | — | 1538152350 |
| FRANCISCO GONZALEZ | — | 1407849243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.