KEITH DOUGLAS CLEMENCE

HALES CORNERS, WI
NPI1811937808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5001558)
Enumeration Date2006-06-07
Last Update Date2007-07-08
Business Address
Dr. KEITH DOUGLAS CLEMENCE DDS
5751 S 108TH ST
HALES CORNERS, WI 53130-1940
Phone number: 414-425-0120
Mailing Address
Dr. KEITH DOUGLAS CLEMENCE DDS
5751 S 108TH ST
HALES CORNERS, WI 53130-1940
Phone number: 414-425-0120
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