Organization
KEVIN J. O'NEILL, D.D.S., M.S.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES O'NEILL D.D.S., M.S.D. (DOCTOR/ OWNER)
(916) 786-3303
Entity
Organization
Contact information
Practice address
10 SIERRA GATE PLZ, SUITE #190, ROSEVILLE, CA 95678-6645
(916) 786-3303
(916) 786-3309
Mailing address
10 SIERRA GATE PLZ, SUITE #190, ROSEVILLE, CA 95678-6645
(916) 786-3303
(916) 786-3309
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25963
CA
1223E0200X
Endodontics
39553
CA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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