Individual
CLIFFORD H. RUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3326 N 3RD AVE, SUITE 4, PHOENIX, AZ 85013-4321
(602) 277-6891
(480) 234-2409
Mailing address
3326 N 3RD AVE, SUITE 4, PHOENIX, AZ 85013-4321
(602) 277-6891
(480) 234-2409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AZ1186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ1186
STATE LICENSE
AZ
Enumeration date
08/14/2007
Last updated
08/14/2007
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