Clifford Daniel Heaberlin

NPI #1700313871 in Clackamas, Oregon

Provider Information

NPI Number
1700313871
Entity Type
Individual
Name
Clifford Daniel Heaberlin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
May 18, 2017
Last Updated
Jul 27, 2017

Practice Location

Address
9775 SE SUNNYSIDE RD STE 200
State
Oregon
ZIP Code
97015-5721
Phone
(503) 655-8471

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Student in an Organized Health Care Education/Training Program

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