DR. Mark Clemons, DMD

NPI #1164517553 in Galax, Virginia

Provider Information

NPI Number: 1164517553
Entity Type: Individual
Name: DR. Mark Clemons, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 301 W. GRAYSON ST.
City: Galax
State: Virginia
ZIP Code: 24333-2813
Phone: (276) 236-6321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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