Individual
DR. MAX GREGORY NEILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4421 OAK PARK LN, STE 101, FORT WORTH, TX 76109-9541
(817) 927-1818
(817) 927-2351
Mailing address
4421 OAK PARK LN, STE 101, FORT WORTH, TX 76109-9541
(817) 927-1818
(817) 927-2351
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D09448
TX
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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