| Matthew R. Lark, D.d.s., P.c., Inc. | |
|
4315 N Holland Sylvania Rd Toledo OH 43623-2507 | |
| (419) 824-7900 | |
| (419) 824-7877 |
| Full Name | Matthew R. Lark, D.d.s., P.c., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4315 N Holland Sylvania Rd, Toledo, Ohio |
| Authorized Official Name and Position | Brigid M Lark (BOOKKEEPER) |
| Authorized Official Contact | 4198247900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew R. Lark, D.d.s., P.c., Inc. 4315 N Holland Sylvania Rd Toledo OH 43623-2507 Ph: (419) 824-7900 | Matthew R. Lark, D.d.s., P.c., Inc. 4315 N Holland Sylvania Rd Toledo OH 43623-2507 Ph: (419) 824-7900 |
| NPI Number | 1073643854 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073643854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.017159 (Ohio) | Primary |
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