Individual
DR. JEAN-LUC GASTON NIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5140 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7897
(410) 997-5826
(410) 997-3200
Mailing address
662 GATESTONE ST, GAITHERSBURG, MD 20878-2100
(707) 689-8461
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15800
MD
Other
Enumeration date
07/07/2008
Last updated
03/20/2024
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