Individual
CLIFFORD G. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
122 CHELMSFORD ST, GREAT HILL DENTAL PARTNERS LLC, CHELMSFORD, MA 01824-2732
(978) 244-0629
(978) 244-0521
Mailing address
122 CHELMSFORD STREET, GREAT HILL DENTAL PARTNERS LLC, CHELMSFORD, MA 01824
(978) 244-0629
(978) 244-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH162
HARVARD PILGRIM
MA
01
—
X05754
BCBS - DENTAL
MA
Enumeration date
03/17/2006
Last updated
10/24/2013
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