Individual
DR. CHRISTOPHER KEVIN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
299 LINCOLN ST, SUITE 204, WORCESTER, MA 01605-3609
(508) 852-0021
(508) 852-0031
Mailing address
299 LINCOLN ST, SUITE 204, WORCESTER, MA 01605-3609
(508) 329-1212
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20205
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN16305
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035268
PA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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