Individual
CLAYTON SULEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D. DENTURIST
Contact information
Practice address
1329 KING ST., BELLINGHAM, WA 98229
(360) 647-0395
(360) 594-4387
Mailing address
1329 KING ST., BELLINGHAM, WA 98229
(360) 647-0395
(360) 594-4387
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
00000395
WA
122400000X
Denturist
395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1780598
TAX IDENTIFICATION NUMBER
WA
05
—
5047287
—
WA
Enumeration date
01/04/2007
Last updated
02/25/2022
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