Individual
LARRY CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 VILLAGE LN, BIGFORK, MT 59911-3711
(406) 837-4806
Mailing address
100 VILLAGE LN, BIGFORK, MT 59911-3711
(406) 837-4806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1644
MT
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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