DR. Edward Jacob Clemons III, DDS

NPI #1003508755 in Atlanta, Georgia

Provider Information

NPI Number: 1003508755
Entity Type: Individual
Name: DR. Edward Jacob Clemons III, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: May 22, 2023
Last Updated: May 22, 2023

Practice Location

Address: 1015 DONALD LEE HOLLOWELL PKWY NW
City: Atlanta
State: Georgia
ZIP Code: 30318-6653
Phone: (404) 523-6571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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