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Individual

STEPHEN MCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
802 ADAMS AVE, LA GRANDE, OR 97850-2202
(541) 963-4000
(541) 624-5778
Mailing address
802 ADAMS AVE, LA GRANDE, OR 97850-2202
(541) 963-4000
(541) 624-5778

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D8998
OK
1223G0001X
General Practice Dentistry
Primary
D8998
OR

Other

Enumeration date
09/10/2007
Last updated
02/27/2019
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