NPI | 1689085730 |
---|---|
Doing Business As | WARD W. CLEMMONS IMPLANT & COMPREHENSIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | WARD W CLEMMONS President 479-434-6894 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AR AR2820) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |