DR. Diane Mary Mclellan, DDS

NPI #1972683811 in Taylor, Michigan

Provider Information

NPI Number: 1972683811
Entity Type: Individual
Name: DR. Diane Mary Mclellan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20211 ECORSE ROAD
City: Taylor
State: Michigan
ZIP Code: 48180
Phone: (313) 383-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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