Organization
CLIFFORD N. AUTEN, D.D.S,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD N. AUTEN D.D.S. (OWNER)
(254) 694-3114
Entity
Organization
Contact information
Practice address
305 S BOSQUE ST, SUITE A, WHITNEY, TX 76692-2736
(254) 694-3114
(254) 694-7084
Mailing address
PO BOX 1576, WHITNEY, TX 76692-1576
(254) 694-3114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G60413
TEXAS CHIP
TX
Enumeration date
05/11/2007
Last updated
08/22/2020
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