| G.R. Clemens, D.D.S., P.C. | |
|
3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 | |
| (708) 795-1255 | |
| (708) 795-1215 |
| Full Name | G.R. Clemens, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3340 Oak Park Ave., Berwyn, Illinois |
| Authorized Official Name and Position | G. R. Clemens (DENTIST) |
| Authorized Official Contact | 7087951255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G.R. Clemens, D.D.S., P.C. 3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 Ph: (708) 795-1255 | G.R. Clemens, D.D.S., P.C. 3340 Oak Park Ave. Suite 301 Berwyn IL 60402-3483 Ph: (708) 795-1255 |
| NPI Number | 1497015721 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497015721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19015658 (Illinois) | Primary |
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