Individual
AMANDA M CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6425 W GREENFIELD AVE, WEST ALLIS, WI 53214-4939
(414) 914-7000
(414) 914-8000
Mailing address
4010 S CHURCH DR, NEW BERLIN, WI 53151-5608
(262) 784-2449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6755-15
WI
Other
Enumeration date
06/06/2011
Last updated
03/30/2017
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