JUSTIN BICE CLEMOW D.M.D., M.D.
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1952504219- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D., M.D.
- Status
- Active
Contact & Location
- Address
- 2500 W STRUB RD STE A, SANDUSKY, OH, 448705390
- Phone
- (419) 627-8131
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: OH #023915
Oral & Maxillofacial Surgery
License: FL #DN18025
Oral & Maxillofacial Surgery
Primary License: OH #30.023915
Oral & Maxillofacial Surgery
License: OH #35.121660
Oral & Maxillofacial Surgery
License: MA #DN1856941
Oral & Maxillofacial Surgery
License: MA #264666