Individual
DR. EUGENE LEROY MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 WILLIS AVE, PERRY, IA 50220-0399
(515) 465-5170
(515) 465-5573
Mailing address
PO BOX 399, PERRY, IA 50220
(515) 465-5170
(515) 465-5573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5585
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013177
—
IA
Enumeration date
09/01/2006
Last updated
07/08/2007
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