Individual
DR. CASEY WOOD CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
928 E 100 S, SUITE E, SALT LAKE CITY, UT 84102-1455
(801) 355-5657
Mailing address
928 E 100 S, SUITE E, SALT LAKE CITY, UT 84102-1455
(801) 355-5657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8448000-9922
UT
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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