Individual
DR. MATTHEW CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 N CANAL BLVD, THIBODAUX, LA 70301-8076
(985) 447-4783
Mailing address
114 LITTLE LAKE DR, THIBODAUX, LA 70301-1601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.0006672-C1
AL
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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