Individual
JOHN RYAN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1300 E A ST, SUITE 208, CASPER, WY 82601
(307) 265-3601
(307) 265-3027
Mailing address
1522 E A ST, CASPER, WY 82601-2217
(307) 233-2000
(307) 235-6202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1159
WY
1223G0001X
General Practice Dentistry
56886
CA
Other
Enumeration date
12/11/2006
Last updated
03/07/2023
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