Individual
DR. RICHARD HAYES CLOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
224 36TH ST, BELLINGHAM, WA 98225-6540
(360) 255-0553
Mailing address
906 AMSTERDAM AVE APT 2B, NEW YORK, NY 10025-3974
(360) 393-9526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61074242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE61074242
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/09/2019
Last updated
11/25/2020
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