Clay C Maupin, D.D.S. Valid NPI

Individual provider · Periodontics · Prescott, AZ

NPI

1245223957

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

1252 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-26

Last updated

2007-07-08