Individual
DR. JOHN CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
804 KENYON RD STE J, FORT DODGE, IA 50501-5744
(515) 573-7601
(515) 576-3962
Mailing address
804 KENYON RD STE J, FORT DODGE, IA 50501-5744
(515) 573-7601
(515) 576-3962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08231
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291633
—
IA
Enumeration date
12/29/2006
Last updated
07/08/2007
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