Individual
MRS. TERAH CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
224 W DL INGRAM BLVD, BLDG 1408 DENTAL CLINIC, CANNON AFB, NM 88103
(575) 784-4041
Mailing address
224 W DL INGRAM BLVD, BLDG 1408 DENTAL CLINIC, CANNON AFB, NM 88103
(575) 784-4041
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9550
SC
Other
Enumeration date
06/03/2015
Last updated
04/24/2018
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