Individual
DR. CLIFFORD CHURCH CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
341 7TH ST, MEEKER, CO 81641
(970) 878-3696
(970) 878-3696
Mailing address
PO BOX 161, 341 7TH ST, MEEKER, CO 81641
(970) 878-3696
(970) 878-3696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02050300
—
CO
Enumeration date
07/28/2006
Last updated
07/08/2007
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