| NPI | 1760608715 |
|---|---|
| Doing Business As | MCLEAN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARIA E ADAMS Controller 860-658-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |