Individual
DR. CHAD ELLIOTT CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1256 BAY ST, FLORENCE, OR 97439-9648
(541) 997-3423
(541) 997-8749
Mailing address
PO BOX 1487, FLORENCE, OR 97439-0075
(541) 997-3423
(541) 997-8749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8497
OR
Other
Enumeration date
03/17/2008
Last updated
12/31/2019
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