Matthew Clark

NPI #1033259908 in Worcester, Massachusetts

Provider Information

NPI Number: 1033259908
Entity Type: Individual
Name: Matthew Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 281 LINCOLN ST
Address 2: MED STAFF SVCS
City: Worcester
State: Massachusetts
ZIP Code: 01605-2138
Phone: (508) 334-8015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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