Keith D. Clemence, DDS
NPI #1710105630 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1710105630
- Entity Type
- Organization
- Organization Name
- Keith D. Clemence, DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5751 S 108TH ST
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-1940
- Phone
- (414) 425-0120
Authorized Official
- Name
- DR. KEITH D CLEMENCE, DDS
- Title
- OWNER
- Phone
- (414) 425-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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