G.r. Clemens, D.d.s., P.c. | |
3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 | |
(708) 795-1255 | |
(708) 795-1215 |
Full Name | G.r. Clemens, D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 3340 Oak Park Ave., Berwyn, Illinois |
Authorized Official Name and Position | G. R. Clemens (DENTIST) |
Authorized Official Contact | 7087951255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
G.r. Clemens, D.d.s., P.c. 3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 Ph: (708) 795-1255 | G.r. Clemens, D.d.s., P.c. 3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 Ph: (708) 795-1255 |
NPI Number | 1497015721 |
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Provider Enumeration Date | 05/21/2012 |
Last Update Date | 05/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497015721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19015658 (Illinois) | Primary |
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