Individual
CHAD AUSTIN MCLENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1084 THOMAS JEFFERSON RD STE 5, FOREST, VA 24551-2299
(434) 385-6398
Mailing address
75 BROOKWOOD CIR, ROANOKE, VA 24019-8577
(540) 588-9954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416618
VA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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