Individual
DR. BRENT EDWARD NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
NAS JACKSONVILLE BUILDING 554, BUREAU OF MEDICINE & SURGERY DETACHMENT JACKSONVILL, JACKSONVILLE, FL 32212-0140
(877) 772-4373
Mailing address
2917 MOBILE ST, VIRGINIA BEACH, VA 23456-7907
(757) 430-0654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19490
OH
Other
Enumeration date
08/09/2005
Last updated
10/06/2015
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