DR. Marissa Chevaughn Clemente, DDS

NPI #1699073247 in New City, New York

Provider Information

NPI Number: 1699073247
Entity Type: Individual
Name: DR. Marissa Chevaughn Clemente, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 7, 2011
Last Updated: Mar 7, 2011

Practice Location

Address: 603 ROUTE 304
City: New City
State: New York
ZIP Code: 10956-2919
Phone: (845) 638-6646

Specialties & Taxonomy Codes

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

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