Individual
DR. JOHN J MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 E 30TH ST BLDG 2, FARMINGTON, NM 87401-8986
(505) 326-2611
(505) 326-5152
Mailing address
2401 E 30TH ST BLDG 2, FARMINGTON, NM 87401-8986
(505) 326-2611
(505) 326-5152
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1123
NM
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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