Mark a Clemens DDS PA
NPI #1285847897 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1285847897
- Entity Type
- Organization
- Organization Name
- Mark a Clemens DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 502 SHAWNEE ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-1957
- Phone
- (913) 651-2115
Authorized Official
- Name
- DR. MARK A CLEMENS, DDS
- Title
- PRESIDENT
- Phone
- (913) 651-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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