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Individual

DR. CLAYTON PAUL WINDHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
406 CORA ST, CENTER, TX 75935-3610
(936) 598-2923
(936) 598-6412
Mailing address
406 CORA ST, CENTER, TX 75935-3610
(936) 598-2923
(936) 598-6412

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28157
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28157
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
07/09/2012
Last updated
07/09/2012
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