NPI | 1003403627 |
---|---|
Doing Business As | DENTAL CLINIC, SHIRLEY MCCLESKEY DDS |
Entity Type | Organization |
Authorized Contact | SHIRLEY LEUNG MCCLESKEY President 870-935-0242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |