Individual
AMY KANG MCLENITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(806) 507-6766
Mailing address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(806) 507-6766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40637
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/27/2023
Last updated
07/03/2024
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