Individual
MARK CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(505) 341-2273
Mailing address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(505) 341-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3466
NM
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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