Individual
DR. SAMUEL A MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16410 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223-8415
(360) 651-1359
(360) 659-1275
Mailing address
16410 SMOKEY POINT BLVD., SUITE 103, ARLINGTON, WA 98223
(360) 651-1359
(360) 659-1275
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00005524
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900004608
MEDICARE RAILROAD
WA
05
—
5010301
—
WA
01
—
86311
LABOR & INDUSTRIES
WA
Enumeration date
02/14/2007
Last updated
07/09/2007
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