Individual
DR. BARBARA AGNES MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1100 S PONCE DE LEON BLVD STE 2, ST AUGUSTINE, FL 32084-6013
(904) 829-6321
(904) 829-2338
Mailing address
1100 S PONCE DE LEON BLVD STE 2, ST AUGUSTINE, FL 32084-6013
(904) 829-6321
(904) 829-2338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13672
FL
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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