Individual
MARK A MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1230 W MAIN ST, CENTRE, AL 35960-1122
(256) 927-8275
(256) 927-8275
Mailing address
1230 W MAIN ST, CENTRE, AL 35960-1122
(256) 927-8275
(256) 927-8275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4860
AL
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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