Individual
MORGAN CLEMENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 STATE ROAD 35, CENTURIA, WI 54824-9014
(715) 646-2161
Mailing address
1279 270TH AVE, LUCK, WI 54853-4103
(715) 554-4440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002052-15
WI
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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