Individual
DR. DANIEL M MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2120 BLUE SPRUCE DR E, #B, BEL AIR, MD 21015-6802
(410) 569-9492
(410) 569-0653
Mailing address
2120 BLUE SPRUCE DR E, #B, BEL AIR, MD 21015-6802
(410) 569-9492
(410) 569-0653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13486
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13486
STATE DENTAL LICENSE
MD
Enumeration date
08/08/2008
Last updated
01/31/2013
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