Individual
DR. COLLIN R CLATANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5050 N 40TH ST STE 160, PHOENIX, AZ 85018
(602) 892-9000
Mailing address
5050 N 40TH ST STE 160, PHOENIX, AZ 85018-9181
(602) 892-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7725537-9921
UT
1223E0200X
Endodontics
Primary
7725537-9921
UT
Other
Enumeration date
08/31/2010
Last updated
06/12/2018
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