Individual
LISA CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-2650
(833) 908-2287
Mailing address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-2650
(833) 908-2283
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6068
MD
Other
Enumeration date
07/07/2021
Last updated
07/12/2021
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