# G. D. MCCLENDON DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lynden Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659097574
- **Authorized official:** GRANT MCCLENDON DMD (OWNER)
- **Authorized official phone:** (801) 885-3207

## Contact information

- **Practice address:** 104 6TH ST, LYNDEN, WA 98264-1959
- **Practice address phone:** (801) 885-3207
- **Mailing address:** 104 6TH ST, LYNDEN, WA 98264-1959
- **Mailing address phone:** (801) 885-3207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 10/12/2022