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Organization

CLARK CLEMENTS DENTAL PLLC

Active
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Organization

CLARK CLEMENTS DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY G BIRDSONG (OFFICE MANAGER)
(931) 685-9700
Entity
Organization

Contact information

Practice address
710 N BRITTAIN ST, STE C, SHELBYVILLE, TN 37160-3448
(931) 685-9700
(931) 685-4051
Mailing address
710 N BRITTAIN ST, STE C, SHELBYVILLE, TN 37160-3448
(931) 685-9700
(931) 685-4051

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3046
TN
1223G0001X
General Practice Dentistry
9671
TN

Other

Enumeration date
01/03/2014
Last updated
01/03/2014
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