Organization
MARY MCCLELLAN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MCCLELLAN DMD (PRESIDENT)
(314) 726-6966
Entity
Organization
Contact information
Practice address
950 FRANCIS PL STE 310, SAINT LOUIS, MO 63105-2465
(314) 726-6966
(314) 726-5194
Mailing address
950 FRANCIS PL STE 310, SAINT LOUIS, MO 63105-2465
(314) 726-6966
(314) 726-5194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13748
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13748
STATE LISCENSE
MO
Enumeration date
05/17/2007
Last updated
08/22/2020
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