Individual
CLIFFORD BILLY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1619 TALLEVAST RD, TALLEVAST, FL 34270
(941) 355-4800
(941) 355-4060
Mailing address
PO BOX 46, TALLEVAST, FL 34270-0046
(941) 355-4800
(941) 355-4060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073659700
—
FL
Enumeration date
05/07/2007
Last updated
02/22/2013
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