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Individual

JOHN CORNELL CLAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-4711
(405) 271-2922
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-4711
(405) 271-2922

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3961
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20058380
OK
Enumeration date
03/05/2007
Last updated
07/09/2007
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