Individual
DR. DUANE CARDON CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 117, MARICOPA, AZ 85139-8978
(480) 272-3374
(520) 316-6264
Mailing address
21300 N JOHN WAYNE PKWY STE 117, MARICOPA, AZ 85139-8978
(480) 272-3374
(520) 316-6264
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115073
—
AZ
Enumeration date
08/19/2005
Last updated
06/16/2018
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