G.r. Clemens, D.d.s., P.c.

NPI #1497015721 in Berwyn, Illinois

Provider Information

NPI Number: 1497015721
Entity Type: Organization
Organization Name: G.r. Clemens, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 3340 OAK PARK AVE.
Address 2: SUITE 301
City: Berwyn
State: Illinois
ZIP Code: 60402-3483
Phone: (708) 795-1255

Authorized Official

Name: G. R. CLEMENS, D.D.S.
Title: DENTIST
Phone: (708) 795-1255

Specialties & Taxonomy Codes

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

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