Individual
DR. JODY LAVAUN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MDS
Contact information
Practice address
795 RIDGE LAKE BLVD STE 101, MEMPHIS, TN 38120
(901) 682-5001
Mailing address
795 RIDGE LAKE BLVD STE 101, MEMPHIS, TN 38120-9475
(901) 682-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10133
TN
122300000X
Dentist
5137057-9922
UT
Other
Enumeration date
08/10/2015
Last updated
12/12/2018
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