MARK ALAN CLEMENS

LEAVENWORTH, KS
NPI1013019694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KS  6921)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
-- MARK ALAN CLEMENS DDS
502 SHAWNEE ST
LEAVENWORTH, KS 66048-1957
Phone number: 913-651-2115
Mailing Address
-- MARK ALAN CLEMENS DDS
502 SHAWNEE ST
LEAVENWORTH, KS 66048-1957
Phone number: 913-651-2115