| Hc Mcclendon Dds Inc | |
|
5117 Marburn Ave Los Angeles CA 90043-2143 | |
| (323) 298-0109 | |
| (323) 298-7011 |
| Full Name | Hc Mcclendon Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5117 Marburn Ave, Los Angeles, California |
| Authorized Official Name and Position | Harold Carver Mcclendon (PRESIDENT OWNER) |
| Authorized Official Contact | 3232980109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hc Mcclendon Dds Inc 5117 Marburn Ave Los Angeles CA 90043-2143 Ph: (323) 298-0109 | Hc Mcclendon Dds Inc 5117 Marburn Ave Los Angeles CA 90043-2143 Ph: (323) 298-0109 |
| NPI Number | 1376635763 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376635763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | Z6478 (California) | Primary |
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