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 |