DR. Jack Dieterich Clifton, DDS

NPI #1568597631 in Stevenson, Washington

Provider Information

NPI Number: 1568597631
Entity Type: Individual
Name: DR. Jack Dieterich Clifton, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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