Individual
DR. NICOLE M CLEMENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
245 W MUNROE AVE, WISCONSIN DELLS, WI 53965-9656
(608) 254-2345
Mailing address
1807 JEFFERSON ST, BARABOO, WI 53913-1547
(608) 254-2345
(608) 254-6460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5961-015
WI
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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