Mary Eileen Clemmons, RDH Valid NPI

Individual provider · Dental Hygienist · Patrick Afb, FL

NPI

1164575767

Type

Individual (Type 1)

Primary specialty

Dental Hygienist

Specialty group

Dental Providers

Taxonomy code

124Q00000X

License number

0001982 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2007-01-19

Last updated

2007-07-08