NPI 1306027529

Robert S Clark DDS

Organisation General Practice Dentistry Pembroke, MA

Practice location

Address: 31 Schoosett Street Suite 101, Pembroke, MA 02359
Phone: (781) 826-7577
Fax: (781) 826-8970

Authorised official

Name: Robert Steven Clark
Title: Owner Dentist
Phone: (781) 826-7577

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 13190 (MA)

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Registry record

NPI: 1306027529
Entity type: Organization
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.