Individual
DR. ELIZABETH AGNES CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-4114
(973) 290-7161
Mailing address
17 FLANDERS VALLEY CT, SKILLMAN, NJ 08558-2335
(609) 333-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01384
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0798703
—
NJ
Enumeration date
07/24/2006
Last updated
04/01/2013
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