Individual
EVELYN CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 ROXBORO AVE, DELTONA, FL 32725-2271
(321) 284-7984
Mailing address
2417 S FRENCH AVE, SANFORD, FL 32771-4249
(407) 321-5010
(407) 324-9229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20701
FL
Other
Enumeration date
06/12/2014
Last updated
05/31/2016
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