Jack D Clifton, Dds, Ps

NPI #1477688547 in Stevenson, Washington

Provider Information

NPI Number: 1477688547
Entity Type: Organization
Organization Name: Jack D Clifton, Dds, Ps
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 52 NW SECOND STREET
City: Stevenson
State: Washington
ZIP Code: 98648-0709
Phone: (509) 427-8605

Authorized Official

Name: DR. JACK DIETERICH CLIFTON, DDS
Title: GENERAL DENTIST
Phone: (509) 427-8605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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