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Individual

DR. MICHAEL NEISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1683 W HARVARD AVE, ROSEBURG, OR 97471-2812
(541) 673-3552
Mailing address
7030 VALLEY VIEW DR, GLADSTONE, OR 97027-1126
(307) 871-2023

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D009012
AZ
122300000X
Dentist
Primary
D10441
OR

Other

Enumeration date
07/18/2014
Last updated
11/13/2019
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