Individual
PAUL MATTHEW CLINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1722 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2504
(772) 337-8600
Mailing address
14710 38TH PL NE, LAKE FOREST PARK, WA 98155-7709
(206) 335-3664
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24381
FL
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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