Hannah H Clifford, DDS
Dentist in Liburn, GA. Individual provider (NPI-1).
NPI number1700876166
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1700876166
- Entity type
- Individual (NPI-1)
- Name
- Hannah H Clifford
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN01587 | GA | Yes |
| 122300000X | Dentist | 319014794 | IL |
Other names
- Hannah Kim (Former Name)
Practice location
449 Pleasant Hill Rd#101
Liburn, GA 30047
Phone 770-797-5221 · Fax 773-278-5043
Mailing address
449 Pleasant Hill Rd#101
Liburn, GA 30047
Phone 770-797-5221
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