Individual
MICHAEL CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
511 N PROVIDENCE RD, MEDIA, PA 19063-2518
(610) 565-0525
Mailing address
1 STRATFORD CT, CHERRY HILL, NJ 08002-1539
(856) 986-5846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044624
PA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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