Individual
DR. TREVOR S CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13051 S US HIGHWAY 71, MY DENTIST, GRANDVIEW, MO 64030-2525
(816) 966-9450
(816) 966-9009
Mailing address
13051 S US HIGHWAY 71, MY DENTIST, GRANDVIEW, MO 64030-2525
(816) 966-9450
(816) 966-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015887
MO
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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