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DR. CLIFFORD CHURCH CHAPIN DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1326052721
Individual Registrant:DR. CLIFFORD CHURCH CHAPIN DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
341 7TH ST MEEKER, CO 81641 US
Tel: 970-878-3696 Fax: 970-878-3696
Tel: 970-878-3696 Fax: 970-878-3696
Contact information for business:
PO BOX 161 341 7TH ST MEEKER, CO 81641 US
Tel: 970-878-3696 Fax: 970-878-3696
Tel: 970-878-3696 Fax: 970-878-3696
Registration Information:
NPI: 1326052721
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CO | 105030 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 02050300 | CO | 05 |
