Organization
JACK D CLIFTON, DDS, PS
Active
Other names
Stevenson Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DIETERICH CLIFTON DDS (GENERAL DENTIST)
(509) 427-8605
Entity
Organization
Contact information
Practice address
52 NW SECOND STREET, STEVENSON, WA 98648-0709
(509) 427-8605
(509) 427-5711
Mailing address
PO BOX 709, STEVENSON, WA 98648-0709
(509) 427-8605
(509) 427-5711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6156
WA
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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