Individual
MS. MARY EILEEN CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-6366
(321) 494-2068
Mailing address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-6366
(321) 494-2068
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0001982
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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