Individual
DR. CLAYTON ALBERT CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
CORNER OF ROUTE N12 AND N7, PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008235
AZ
Other
Enumeration date
07/18/2011
Last updated
09/15/2011
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