Individual
DR. EUGENE M CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 ELM ST, SUITE 900, OLD SAYBROOK, CT 06475-4108
(860) 388-0242
Mailing address
123 ELM ST, SUITE 900, OLD SAYBROOK, CT 06475-4108
(860) 388-0242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4263
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4263
LICENSE NUMBER
CT
Enumeration date
07/14/2006
Last updated
07/08/2007
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