Individual
DR. DANE L. MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58388
CA
122300000X
Dentist
Primary
DD3458
NM
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5941
NV
Other
Enumeration date
08/13/2009
Last updated
10/28/2011
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