Individual
DR. CHAD J. MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 E 22ND ST, FREMONT, NE 68025-2667
(402) 727-4400
Mailing address
8602 S 100TH ST, LAVISTA, NE 68128-3074
(402) 560-1790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6713
NE
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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