Nicole M Clemens DDS

NPI 1063478667 - Dentist - 122300000X

NPI Details
NPI 1063478667
Gender Female
Enumeration Date 04/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
245 W MUNROE AVE
WISCONSIN DELLS WI, 53965-9656, US
Phone (608) 254-2345
Fax
Business Location
1807 JEFFERSON ST
BARABOO WI, 53913-1547, US
Phone (608) 254-2345
Fax (608) 254-6460
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 5961-015
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According to our database, Dr. Nicole M Clemens DDS NPI is 1063478667, taxonomy code is 122300000X and license number is 5961-015, license state is located at Wisconsin. Nicole M Clemens DDS physically located at 245 W Munroe Ave, Wisconsin Dells WI, 53965-9656. NPI Number Nicole M Clemens DDS has the Individual type.

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1063478667 NPI number is provided on an as is basis without warranty of any kind. 1063478667 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole M Clemens DDS are for informational purposes only.