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Individual

CAMILYN LORRAINE CLEMENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3153 BRODHEAD RD, ALIQUIPPA, PA 15001-1370
(724) 857-1010
Mailing address
2368 TWELVE OAKES DR, HERMITAGE, PA 16148-6040
(724) 699-1576

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043515
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2021
Last updated
12/01/2022
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