Individual
AFTON CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W WARNER RD STE 3, CHANDLER, AZ 85224-2758
(480) 726-6600
Mailing address
2990 S POWER RD APT 1225, MESA, AZ 85212-3012
(602) 540-3245
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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