Individual provider · Type 1 NPI

Glen Thomas Clark, DDS

Dentist · Los Angeles, CA

NPI number 1740339233 Active

Practice location

925 W 34th St, Room #151
Los Angeles, CA 90089-0641

Call (213) 740-7405 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106X24282 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X24282 (CA)
Dentist Primary 122300000X24282 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1740339233

Glen Thomas Clark, DDS's National Provider Identifier is 1740339233, issued on Jan 10, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 5, 2011.