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Individual

DR. MICHAEL NEUBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1707 W CHARLESTON BLVD STE 290, LAS VEGAS, NV 89102-2353
(702) 671-5139
(702) 671-0333
Mailing address
1707 W CHARLESTON BLVD STE 290, LAS VEGAS, NV 89102-2353
(702) 671-5139
(702) 671-0333

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S4-286
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100510865
NV
Enumeration date
12/27/2006
Last updated
05/08/2008
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