Individual
CASEY DEAN CLINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21300 HIGHWAY 62, SHADY COVE, OR 97539-7707
(541) 423-7584
Mailing address
711 NOBILITY DR, MEDFORD, OR 97501-4482
(870) 557-2783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10895
OR
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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