Individual
DR. CLIFTON WALLACE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(325) 654-3050
Mailing address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840-2502
(719) 333-5592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21112
TX
Other
Enumeration date
01/05/2006
Last updated
08/04/2022
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