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Individual

DR. CHRISTI VAN CLIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
903 BAY AREA BLVD, SUITE E, HOUSTON, TX 77058-2647
(281) 486-0440
(281) 486-5918
Mailing address
903 BAY AREA BLVD, SUITE E, HOUSTON, TX 77058-2647
(281) 486-0440
(281) 486-5918

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133304906
TX
01
D17894
DELTA TX CHIP PROGRAM
TX
Enumeration date
08/08/2006
Last updated
07/08/2007
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