Individual
DR. MATTHEW S. CLEGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
802 7TH ST, CLARKSTON, WA 99403-2022
(509) 758-4181
(509) 758-4756
Mailing address
802 7TH ST, CLARKSTON, WA 99403-2022
(509) 758-4181
(509) 758-4756
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00010180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602 510 100
UNIFIED BUSINESS IDENT.
WA
Enumeration date
11/25/2005
Last updated
07/08/2007
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