Individual
MORRISTINE LYNN MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3890 REDWINE RD SW STE 206, ATLANTA, GA 30331-5583
(770) 692-1000
Mailing address
950 PEGASUS WAY, ATLANTA, GA 30349-7652
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH011913
GA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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