Individual
DR. CHARLES T. CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
490 S MAIN ST, SUITE 201, ROCKY MOUNT, VA 24151-1762
(540) 483-5241
(540) 484-1121
Mailing address
490 S MAIN STREET, SUITE 201, ROCKY MOUNT, VA 24151-1749
(540) 483-5241
(540) 484-1121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008242
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214673
—
VA
Enumeration date
05/01/2008
Last updated
05/01/2008
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