Individual
DONNA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20359 N 59TH AVE, STE 101, GLENDALE, AZ 85308-6856
(623) 376-9400
(623) 376-7765
Mailing address
20359 N 59TH AVE, STE 101, GLENDALE, AZ 85308-6856
(623) 376-9400
(623) 376-7765
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H0401
AZ
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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