Scott Clifford Province DDS

NPI 1164696167 - Dentist - 122300000X

NPI Details
NPI 1164696167
Gender Male
Enumeration Date 04/22/2008
Last Updated 04/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
317 MADISON AVENUE
NEW YORK NY, 10017, US
Phone (212) 682-8032
Fax (212) 953-7049
Business Location
317 MADISON AVENUE
NEW YORK NY, 10017, US
Phone (212) 682-8032
Fax (212) 953-7049
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 47642
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According to our database, Dr. Scott Clifford Province DDS NPI is 1164696167, taxonomy code is 122300000X and license number is 47642, license state is located at New York. Scott Clifford Province DDS physically located at 317 Madison Avenue, New York NY, 10017. NPI Number Scott Clifford Province DDS has the Individual type.

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1164696167 NPI number is provided on an as is basis without warranty of any kind. 1164696167 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Clifford Province DDS are for informational purposes only.