Individual
DR. KEVIN CLIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
703 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4839
(509) 745-5805
Mailing address
703 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-4839
(509) 745-5805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61292349
WA
Other
Enumeration date
06/06/2022
Last updated
06/21/2022
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