Michael Gene Neilson, DMD
NPI #1811946841 in Travis Afb, California
Provider Information
- NPI Number
- 1811946841
- Entity Type
- Individual
- Name
- Michael Gene Neilson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DMD
- Enumeration Date
- May 8, 2006
- Last Updated
- Nov 19, 2011
Practice Location
- Address
- 60TH DENTAL SQUADRON
- Address 2
- 101 BODIN CIRCLE
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535
- Phone
- (707) 423-7085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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