Individual
GRANT DANIEL MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1118 FINNEGAN WAY STE 101, BELLINGHAM, WA 98225-6656
(360) 676-0760
Mailing address
1118 FINNEGAN WAY STE 101, BELLINGHAM, WA 98225-6656
(360) 676-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10087
TN
1223G0001X
General Practice Dentistry
Primary
31795
TX
Other
Enumeration date
06/13/2015
Last updated
11/05/2021
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