Individual
DARYA GUBAREV CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
5500 1ST AVE S, BIRMINGHAM, AL 35212-2518
(205) 592-2255
Mailing address
5500 1ST AVE S, BIRMINGHAM, AL 35212-2518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D007191C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
06/14/2023
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