Individual
DR. CLAY C MAUPIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
931 FAIR ST, PRESCOTT, AZ 86305-1805
(928) 445-3854
Mailing address
PO BOX 1073, CHINO VALLEY, CHINO VALLEY, AZ 86323-1073
(928) 636-5308
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1252
AZ
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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