Individual
DR. DEBRA G. CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
431 MAIN ST, SOUTH BOSTON, VA 24592-3241
(434) 572-3205
(434) 572-8566
Mailing address
PO BOX 425, SOUTH BOSTON, VA 24592-0425
(434) 572-3205
(434) 572-8566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006442
VA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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