Individual
FELISHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
184 MAIN ST, MILFORD, MA 01757-2605
(508) 422-9722
Mailing address
10 SCOTT HOLLOW DR, SOUTH HADLEY, MA 01075-3337
(978) 835-4310
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1857867
MA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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