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Individual
DR. RICHARD HAYES CLOUGH JR.
Active
Individual
DR. RICHARD HAYES CLOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61074242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE61074242
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/09/2019
Last updated
11/25/2020
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