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Organization
JOHN W. CLEMENZA, DMD, MD ORAL AND FACIAL SURGICAL CENTER, LLC
Active
Organization
JOHN W. CLEMENZA, DMD, MD ORAL AND FACIAL SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM CLEMENZA D.M.D., M.D. (MEMBER)
(724) 981-8884
Entity
Organization
Contact information
Practice address
3041 INNOVATION WAY, HERMITAGE, PA 16148
(724) 981-8884
Mailing address
3041 INNOVATION WAY, HERMITAGE, PA 16148
(724) 981-8884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
03/17/2008
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