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Individual

HANNAH H CLIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
449 PLEASANT HILL RD, #101, LIBURN, GA 30047
(770) 797-5221
(773) 278-5043
Mailing address
449 PLEASANT HILL RD, #101, LIBURN, GA 30047
(770) 797-5221

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
319014794
IL
122300000X
Dentist
Primary
DN01587
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005607
IL
Enumeration date
10/26/2005
Last updated
12/30/2021
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