Organization
RYAN M CLANCY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M CLANCY DMD (PRESIDENT)
(781) 396-8558
Entity
Organization
Contact information
Practice address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 396-8558
(781) 396-8559
Mailing address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 396-8558
(781) 396-8559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20405
MA
Other
Enumeration date
07/23/2006
Last updated
01/02/2014
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