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Individual

MR. CLARENCE MCNAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
37944 CHURCH AVE, DADE CITY, FL 33525
(352) 518-2000
(352) 567-0218
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-1974

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN3602
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070410500
FL
Enumeration date
02/13/2006
Last updated
05/27/2008
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