Individual
ELESE MCCLARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1805 E MAIN ST, LITTLE CHUTE, WI 54140
(920) 423-9131
Mailing address
1805 E MAIN ST, LITTLE CHUTE, WI 54140-2455
(920) 423-9131
(920) 423-9132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002250-15
WI
Other
Enumeration date
09/12/2017
Last updated
02/11/2025
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