Individual
DR. RICHARD A. CLABAUGH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1530 S 70TH ST, SUITE 201, LINCOLN, NE 68506-1567
(402) 483-1009
Mailing address
1530 S 70TH ST, SUITE 201, LINCOLN, NE 68506-1567
(402) 483-1009
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2014018383
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60690
KS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7121
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D1100
SD
Other
Enumeration date
06/09/2009
Last updated
04/06/2016
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