Mark A Clemens Dds Pa | |
502 Shawnee St Leavenworth KS 66048-1957 | |
(913) 651-2115 | |
(913) 682-1218 |
Full Name | Mark A Clemens Dds Pa |
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Speciality | Dentist - General Practice |
Location | 502 Shawnee St, Leavenworth, Kansas |
Authorized Official Name and Position | Mark A Clemens (PRESIDENT) |
Authorized Official Contact | 9136512115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark A Clemens Dds Pa 502 Shawnee St Leavenworth KS 66048-1957 Ph: (913) 651-2115 | Mark A Clemens Dds Pa 502 Shawnee St Leavenworth KS 66048-1957 Ph: (913) 651-2115 |
NPI Number | 1285847897 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285847897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6921 (Kansas) | Primary |
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