Individual
CAMERON J CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 NW 23RD ST, BETHANY, OK 73008-5931
(405) 495-2402
Mailing address
6301 NW 23RD ST, BETHANY, OK 73008-5931
(405) 495-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7039
OK
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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