NPI 1033259908

Matthew Clark

Practitioner Dentist Worcester, MA

Practice location

Address: 281 Lincoln St Med Staff Svcs, Worcester, MA 01605-2138
Phone: (508) 334-8015

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 21633 (MA)

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Registry record

NPI: 1033259908
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2007
Record last updated: 8 Jul 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.