Provider Demographics
NPI:1043436843
Name:ARDARY, WILLIAM CLARK (MD DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CLARK
Last Name:ARDARY
Suffix:
Gender:M
Credentials:MD DDS
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:550 W DUARTE RD
Mailing Address - Street 2:#7
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007
Mailing Address - Country:US
Mailing Address - Phone:626-446-0728
Mailing Address - Fax:626-446-1949
Practice Address - Street 1:550 W DUARTE RD
Practice Address - Street 2:#7
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007
Practice Address - Country:US
Practice Address - Phone:626-446-0728
Practice Address - Fax:626-446-1949
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG598621223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery