Organization
CLEARWATER ENDODONTICS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CLEGG DDS, MS (MANAGING PARTNER)
(509) 254-3975
Entity
Organization
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
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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