DR. Matthew Richard Clary, DDS

NPI #1619194859 in Columbus, Wisconsin

Provider Information

NPI Number: 1619194859
Entity Type: Individual
Name: DR. Matthew Richard Clary, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1132 PARK AVE
City: Columbus
State: Wisconsin
ZIP Code: 53925-1609
Phone: (920) 623-5559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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