| Robert S Clark Dds | |
|
31 Schoosett Street Suite 101 Pembroke MA 02359 | |
| (781) 826-7577 | |
| (781) 826-8970 |
| Full Name | Robert S Clark Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31 Schoosett Street, Pembroke, Massachusetts |
| Authorized Official Name and Position | Robert Steven Clark (OWNER DENTIST) |
| Authorized Official Contact | 7818267577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Clark Dds 31 Schoosett Street Suite 101 Pembroke MA 02359 Ph: (781) 826-7577 | Robert S Clark Dds 31 Schoosett Street Suite 101 Pembroke MA 02359 Ph: (781) 826-7577 |
| NPI Number | 1306027529 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306027529 | NPI | - | NPPES |
| 0248126 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13190 (Massachusetts) | Primary |
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