Individual
DR. MATTHEW RICHARD CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1132 PARK AVE, COLUMBUS, WI 53925-1609
(920) 623-5559
(920) 623-0127
Mailing address
1132 PARK AVE, COLUMBUS, WI 53925-1609
(920) 623-5559
(920) 623-0127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5985
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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