Individual
MATTHEW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605-2138
(508) 334-8015
Mailing address
281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605-2138
(508) 334-8015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21633
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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