Individual
DR. WILSON BRYAN CLEMONS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1041 ARTHUR ST, IOWA CITY, IA 52240-6604
(319) 338-9219
(319) 338-7265
Mailing address
1041 ARTHUR ST, IOWA CITY, IA 52240-6604
(319) 338-9219
(319) 338-7265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5429
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132258
—
IA
01
—
1437247202
NPI FOR CORPORATION
IA
Enumeration date
02/27/2007
Last updated
07/08/2007
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