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Individual

DR. DEREK ALAN CLEMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
15921 BOUNDARY DR, ASHLAND, MS 38603-7740
(662) 224-8951
Mailing address
PO BOX 92, ASHLAND, MS 38603-0092
(662) 224-8951
(662) 224-6801

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3565-10
MS

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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