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Organization
KATHRYN C MCCLINTOCK DDS
Active
Organization
KATHRYN C MCCLINTOCK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN CARREL MCCLINTOCK DDS (OWNER)
(727) 391-1963
Entity
Organization
Contact information
Practice address
15215 GULF BLVD, MADEIRA BEACH, FL 33708-1814
(727) 391-1963
(727) 393-9580
Mailing address
15215 GULF BLVD, MADEIRA BEACH, FL 33708-1814
(727) 391-1963
(727) 393-9580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 8929
FL
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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