Organization
DELLS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L CLEMENS DDS (CO-OWNER)
(608) 254-2345
Entity
Organization
Contact information
Practice address
245 W MUNROE AVE, WISCONSIN DELLS, WI 53965-9656
(608) 254-2345
(608) 254-6460
Mailing address
245 W MUNROE AVE, WISCONSIN DELLS, WI 53965-9656
(608) 254-2345
(608) 254-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5198-015
WI
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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