Individual
DR. JEFFREY MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
923 5TH AVE, NEW YORK, NY 10021-2649
(212) 734-6111
Mailing address
3917 214TH PL, BAYSIDE, NY 11361-2123
(718) 281-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045124
NY
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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