Individual
DR. BETTY DERRICK KLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2140 KINGSLEY AVE, SUITE 4, ORANGE PARK, FL 32073-5180
(904) 272-7277
Mailing address
2140 KINGSLEY AVE, SUITE 4, ORANGE PARK, FL 32073-5180
(904) 272-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN009328
GA
1223G0001X
General Practice Dentistry
Primary
DN10244
FL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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