Individual
KEVIN M. CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 CLAREMONT LANE, SUITE 101, CROZET, VA 22932-3369
(434) 205-4594
Mailing address
300 CLAREMONT LANE, SUITE 101, CROZET, VA 22932-3369
(434) 205-4594
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411881
VA
Other
Enumeration date
06/18/2007
Last updated
04/20/2022
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