Organization
DANIEL J. CLANCY D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J CLANCY D.D.S. (PRESIDENT)
(508) 947-8000
Entity
Organization
Contact information
Practice address
511 W GROVE ST, 203, MIDDLEBORO, MA 02346-1458
(508) 947-8000
Mailing address
511 W GROVE ST, 203, MIDDLEBORO, MA 02346-1458
(508) 947-8000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10658
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9796126
—
MA
Enumeration date
02/17/2009
Last updated
02/17/2009
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