Individual
MICHAEL TYLER NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, NAVAL MEDICAL CENTER CAMP LEJEUNE, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-4357
Mailing address
109 AZALEA PLANTATION BLVD, MAYSVILLE, NC 28555-9606
(310) 944-1909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14041382-9926
UT
Other
Enumeration date
08/13/2024
Last updated
09/25/2024
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