Individual
TARA AMANDA CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
710 N BRITTAIN ST STE C, SHELBYVILLE, TN 37160-3463
(931) 685-9700
(931) 685-4051
Mailing address
710 N BRITTAIN ST STE C, SHELBYVILLE, TN 37160-3463
(931) 685-9700
(931) 685-4051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9671
TN
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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