Individual
DR. MARJORIE ANN CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
304 GRAY STREET, EAU CLAIRE, WI 54701
(715) 832-5566
(715) 552-4563
Mailing address
304 GRAY STREET, EAU CLAIRE, WI 54701
(715) 832-5566
(715) 552-4563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI4349
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33745600
—
WI
Enumeration date
01/16/2007
Last updated
07/08/2007
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