NPI | 1861607079 |
---|---|
Former Legal Business Name | STEVE B. MCLAIN DMD PC |
Entity Type | Organization |
Authorized Contact | KENDRA WALKER Credentialing COO Rdinator 217-540-8312 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-05-11 |
Last Update Date | 2014-12-26 |