Organization
NEAL FAMILY DENTISTRY
Active
Organization
NEAL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WES NEAL D.M.D. (DENTIST)
(618) 242-5054
Entity
Organization
Contact information
Practice address
3 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6200
(618) 242-5054
(618) 242-9311
Mailing address
3 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6200
(618) 242-5054
(618) 242-9311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.016293
IL
122300000X
Dentist
Primary
019.030185
IL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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