Individual
DR. JACK NEAL SEIDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2817 REILLY ST STOP B, USA DENTAL ACTIVITY MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Mailing address
2817 REILLY ST STOP B, USA DENTAL ACTIVITY MCDS NA B, FORT BRAGG, NC 28310-7302
(910) 396-5610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036956
NY
Other
Enumeration date
10/04/2006
Last updated
05/24/2010
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