Individual
DR. CLARK ELON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 PEARL ST, BRAINTREE, MA 02184-6521
(781) 356-3030
Mailing address
102 PEARL ST, BRAINTREE, MA 02184-6521
(781) 356-3030
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6556-15
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855946
MA
Other
Enumeration date
07/06/2010
Last updated
03/22/2023
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