Individual
DR. DANNA RADCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
696 HIGHWAY 71 W, BUILDING 4, UNIT D, BASTROP, TX 78602-4009
(512) 321-5437
(888) 317-1936
Mailing address
640 S COLLEGE ST, LA GRANGE, TX 78945-3409
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
TX21353
TX
Other
Enumeration date
04/12/2008
Last updated
11/10/2011
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