Mark Alan Clemens, DDS

NPI #1013019694 in Leavenworth, Kansas

Provider Information

NPI Number: 1013019694
Entity Type: Individual
Name: Mark Alan Clemens, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 502 SHAWNEE ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-1957
Phone: (913) 651-2115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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