Individual
DR. BRANDON JAMES CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2003 SOUTHERN BLVD SE # 133-134, ALBUQUERQUE, NM 87124-3751
(505) 221-5740
Mailing address
MSC 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5283
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-111
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/25/2019
Last updated
11/03/2020
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