Individual
DR. W. ALFRED MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
134 S CLAYTON ST STE 28, LAWRENCEVILLE, GA 30045-5753
(770) 338-1911
(770) 963-0711
Mailing address
134 S CLAYTON ST STE 28, LAWRENCEVILLE, GA 30045-5753
(770) 338-1911
(770) 963-0711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11199
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729
—
GA
Enumeration date
10/27/2006
Last updated
07/09/2007
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