Dr. Douglas Clemens, D.M.D
Dentist, Pediatric Dentistry in Baltimore, MD. Individual provider (NPI-1).
NPI number1962575720
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962575720
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas Clemens
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 09373 | MD | Yes |
Practice location
2 Hamill RdSuite 266 South
Baltimore, MD 21210-1806
Phone 410-435-8400
Mailing address
2 Hamill RdSuite 266 South
Baltimore, MD 21210-1806
Phone 410-435-8400
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