Individual
NICKLAUS CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2510 E INDEPENDENCE ST STE 600, SHAWNEE, OK 74804-1839
(405) 273-2002
(405) 273-0087
Mailing address
2510 E INDEPENDENCE ST STE 600, SHAWNEE, OK 74804-1839
(405) 273-2002
(405) 273-0087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6632
OK
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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