Individual
DR. BRIAN CHRISTOPHER MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 W MAIN ST, GREENTOWN, IN 46936-1021
(765) 628-3770
Mailing address
520 W MAIN ST, GREENTOWN, IN 46936-1021
(765) 628-3770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011988A
IN
Other
Enumeration date
07/29/2013
Last updated
11/02/2016
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