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Individual

JOSEPH MCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4460 ATLANTA HWY, LOGANVILLE, GA 30052-7465
(770) 554-3700
Mailing address
4460 ATLANTA HWY, LOGANVILLE, GA 30052-7465

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015489
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN015489
DENTAL LICENSE
GA
Enumeration date
07/29/2017
Last updated
07/29/2017
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