| NPI | 1194875393 |
|---|---|
| Former Legal Business Name | MARK J MCLEAN DMD MS PC |
| Entity Type | Organization |
| Authorized Contact | MARK JAMES MCLEAN Owner 907-562-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AK 436733) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |