Organization
MCCLURE PEDIATRIC DENTISTRY, PLLC
Active
Other names
McClure Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON WESLEY MCCLURE D.D.S. (OWNER)
(972) 549-4036
Entity
Organization
Contact information
Practice address
14660 STATE HIGHWAY 121, #300, FRISCO, TX 75035-4629
(972) 549-4036
Mailing address
14660 STATE HIGHWAY 121, #300, FRISCO, TX 75035
(972) 549-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23879
TX
Other
Enumeration date
07/01/2012
Last updated
01/26/2017
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