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Individual

DANIEL E CLEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3884 MONITOR ROAD, BAY CITY, MI 48706-9298
(989) 671-2000
(989) 383-0638
Mailing address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020092
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002525949
UNITED CONCORDIA
MI
05
1629305388
MI
01
193450
GUARDIAN DENTAL INSURANCE
MI
01
381908328
DELTA DENTAL
MI
01
D801095
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
11/17/2009
Last updated
02/23/2011
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