Organization
GEOFFREY R CLIVE DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY R CLIVE DDS (OWNER)
(443) 983-1330
Entity
Organization
Contact information
Practice address
11082 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-3456
Mailing address
11082 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-3456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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