Individual
DR. RICHARD MCCLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1231 CANDELARIA RD NW, ALBUQUERQUE, NM 87107-2767
(505) 345-8309
Mailing address
2917 CUTLER AVE NE, ALBUQUERQUE, NM 87106-1714
(443) 694-2185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13508
MD
1223G0001X
General Practice Dentistry
Primary
DD3063
NM
Other
Enumeration date
06/29/2006
Last updated
02/19/2009
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