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Individual

ALICIA CALINA MCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DH

Contact information

Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3225
(718) 883-6193
Mailing address
7901 BROADWAY, MANAGED CARE D1-1, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024375
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
02/22/2007
Last updated
07/08/2007
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